Organization
REVIVAL THERAPY LLC
Active
Other names
Revival Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY N HOOVER LPC (OWNER)
(814) 242-3487
Entity
Organization
Contact information
Practice address
1163 WATER ST STE 5, INDIANA, PA 15701-1648
(724) 427-5612
Mailing address
1163 WATER ST STE 5, INDIANA, PA 15701-1648
(724) 427-5612
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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