Organization
REVIVING SOLUTIONS & CONSULTING LLC
Active
Other names
Reviving Hope Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
CIERRA JACKSON LPCCS,LICDC (CEO)
(937) 502-5037
Entity
Organization
Contact information
Practice address
6545 MARKET AVE N STE 100, CANTON, OH 44721-2430
(937) 502-5037
Mailing address
11711 PRINCETON PIKE STE 341-143, CINCINNATI, OH 45246-2534
(937) 502-5037
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
08/07/2024
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