| Revival Therapy & Consulting, Llc | |
|
5034 Kidron Rd Ste 21 Apple Creek OH 44606-9746 | |
| (330) 429-2157 | |
| Not Available |
| Full Name | Revival Therapy & Consulting, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5034 Kidron Rd Ste 21, Apple Creek, Ohio |
| Authorized Official Name and Position | Jessica Skye Orr (OWNER/THERAPIST) |
| Authorized Official Contact | 3307498633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revival Therapy & Consulting, Llc 5034 Kidron Rd Ste 21 Apple Creek OH 44606-9746 Ph: (330) 429-2157 | Revival Therapy & Consulting, Llc 5034 Kidron Rd Ste 21 Apple Creek OH 44606-9746 Ph: (330) 429-2157 |
| NPI Number | 1346051505 |
|---|---|
| Provider Enumeration Date | 01/16/2025 |
| Last Update Date | 01/16/2025 |
| Certification Date | 01/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346051505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |