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Revive Therapy Llc
Professional Counselor in Troy, Ohio
NPI 1497437800

Revive Therapy Llc is a Professional Counselor based in Troy, OH and is specialized in Professional. Revive Therapy Llc practices in Troy, OH. The NPI Number for Revive Therapy Llc is 1497437800 and holds a License No. (Ohio).

The current practice location address for Revive Therapy Llc is 405 Public Sq Ste 350, Troy, OH and can be reached out via phone at 937-980-3252.

Location: 405 Public Sq Ste 350, Troy, OH, 45373-3976
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497437800
Provider Name
Revive Therapy Llc
Credential
Provider Entity Type
Organization
Address
405 Public Sq Ste 350, Troy, OH, 45373-3976
Phone Number
937-980-3252
Fax Number
Provider Enumeration Date
08/04/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1275087454 05 OH
institution
Provider Business Practice Location Address Details
Address
405 Public Sq Ste 350
City
Troy
State
Ohio
Zip
45373-5200
Phone Number
937-980-3252
Fax Number
person
Provider Business Mailing Address Details
Address
405 Public Sq Ste 350
City
Troy
State
Ohio
Zip
45373-5200
Phone Number
937-980-3252
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
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Definition
Definition to come...
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