# RE-VISIONING RECOVERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Socratic Challenge
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396331534
- **Authorized official:** RYAN CROWLEY M.A. (CLINICAL DIRECTOR)
- **Authorized official phone:** (504) 920-5738

## Contact information

- **Practice address:** 11271 VENTURA BLVD \# 365, STUDIO CITY, CA 91604-3136
- **Practice address phone:** (504) 920-5738
- **Mailing address:** 11271 VENTURA BLVD \# 365, STUDIO CITY, CA 91604-3136
- **Mailing address phone:** (504) 920-5738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2020
- **Last updated:** 12/11/2020
