Organization
REVIVAL THERAPY & CONSULTING, LLC
Active
Organization
REVIVAL THERAPY & CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SKYE ORR LISW-S (OWNER/THERAPIST)
(330) 749-8633
Entity
Organization
Contact information
Practice address
5034 KIDRON RD STE 21, APPLE CREEK, OH 44606-9746
(330) 429-2157
Mailing address
5034 KIDRON RD STE 21, APPLE CREEK, OH 44606-9746
(330) 429-2157
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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