Organization · Type 2 NPI
Revival Therapy Services LLC
Mental Health Counselor · Colorado Springs, CO
NPI number
1619780145
Active
Practice location
3520 Austin Bluffs Pkwy Ste 101
Colorado Springs, CO 80918-5756
Fax (303) 551-0117
Mailing address
1133 N Pennsylvania St
Denver, CO 80203-2502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1619780145
Revival Therapy Services LLC's National Provider Identifier is 1619780145, issued on Jan 29, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Colorado Springs, CO. The record was last updated on Jan 29, 2025.