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Organization
REVIVAL THERAPY SERVICES LLC
Active
Organization
REVIVAL THERAPY SERVICES LLC
Active
Parent organization
REVIVAL THERAPY SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
REVIVAL THERAPY SERVICES
Authorized official
SACHA LACASSE (OWNER/DIRECTOR)
(720) 441-4622
Entity
Organization
Contact information
Practice address
3520 AUSTIN BLUFFS PKWY STE 101, COLORADO SPRINGS, CO 80918-5756
(303) 551-0117
(303) 551-0117
Mailing address
1133 N PENNSYLVANIA ST, DENVER, CO 80203-2502
(303) 551-0017
(303) 551-0117
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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