Organization
REVIVE THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH GUY LCSW (OWNER)
(267) 600-8142
Entity
Organization
Contact information
Practice address
4305 LOCUST ST, PHILADELPHIA, PA 19104-5382
(267) 600-8142
Mailing address
4511 KINGSESSING AVE FL 1, PHILADELPHIA, PA 19143-3712
(267) 600-8142
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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