| Revival Therapeutic Services Llc | |
|
2885 Lindale Mount Holly Rd Amelia OH 45102-9707 | |
| (513) 401-4038 | |
| Not Available |
| Full Name | Revival Therapeutic Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2885 Lindale Mount Holly Rd, Amelia, Ohio |
| Authorized Official Name and Position | Ryan Hall (OWNER) |
| Authorized Official Contact | 5134014038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revival Therapeutic Services Llc 2885 Lindale Mount Holly Rd Amelia OH 45102-9707 Ph: () - | Revival Therapeutic Services Llc 2885 Lindale Mount Holly Rd Amelia OH 45102-9707 Ph: (513) 401-4038 |
| NPI Number | 1336715622 |
|---|---|
| Provider Enumeration Date | 05/27/2021 |
| Last Update Date | 05/27/2021 |
| Certification Date | 05/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336715622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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