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Organization
THE REVIVAL ROOM, LLC
Active
Organization
THE REVIVAL ROOM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYCIE JABCO LPC (LICENSED PROFESSIONAL COUNSELOR)
(717) 487-8857
Entity
Organization
Contact information
Practice address
301 N SPRING ST STE 130, BELLEFONTE, PA 16823-1543
(814) 343-1533
(888) 253-1993
Mailing address
301 N SPRING ST STE 130, BELLEFONTE, PA 16823-1543
(814) 343-1533
(888) 253-1993
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/01/2026
Last updated
05/21/2026
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