Revival Therapy Llc

LBN: Revival Therapy Llc
Revival Therapy Llc is an health care organization with primary practice located at 1163 Water St Ste 5 , Indiana PA 15701-1648. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Revival Therapy Llc can be contacted via phone (724) 427-5612, or through Hoover, Brittany N via phone (814) 242-3487.

Contact Information

Primary practice address
1163 Water St Ste 5 Indiana PA 15701-1648
Phone: (724) 427-5612
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hoover, Brittany N Licensed Professional Counselor (LPC)
Phone: (814) 242-3487

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1922675446
LBN Legal business name Revival Therapy Llc
DBA Doing business as
Authorized official Hoover, Brittany N Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2021
Last updated Jun 4th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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