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Organization
REVIVE THERAPY AND WELLNESS LLC
Active
Organization
REVIVE THERAPY AND WELLNESS LLC
Active
Other names
Shelli L Pollard LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLI POLLARD LCSW (OWNER/THERAPIST)
(815) 575-9887
Entity
Organization
Contact information
Practice address
1818 LOGAN AVE, BELVIDERE, IL 61008-6412
(815) 575-9887
(815) 534-1437
Mailing address
1818 LOGAN AVE, BELVIDERE, IL 61008-6412
(815) 575-9887
(815) 534-1437
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
111N00000X
Chiropractor
—
—
Other
Enumeration date
01/29/2024
Last updated
04/28/2026
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