Organization · Type 2 NPI

Revival Therapy & Wellness Inc

Professional Counselor · Chicago, IL

NPI number 1922734342 Active

Practice location

159 N Sangamon St Ste 200
Chicago, IL 60607-2201

Mailing address

3700 Tennyson St Unit 12451
Denver, CO 80212-4418

Other practice locations

  • 3700 Tennyson St Unit 12451, Denver, CO 80212-4418 · (312) 487-1179
  • 125 S Wacker Dr Ste 300, Chicago, IL 60606-4421 · (312) 487-1179

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1922734342

Revival Therapy & Wellness Inc's National Provider Identifier is 1922734342, issued on Jul 27, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Feb 5, 2024.