MODERN REVIVAL THERAPY LLC - NPI 1023958394 - Social Worker in Livonia, MI

Q: What is Modern Revival Therapy LLC's NPI number?

The NPI number for Modern Revival Therapy LLC is 1023958394. It was assigned to this organization in the NPPES registry on March 30, 2026.

Q: What is Modern Revival Therapy LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

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About Modern Revival Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODERN REVIVAL THERAPY LLC (NPI 1023958394) is a healthcare organization registered as a clinical in Livonia, Michigan and active in the NPI registry since March 2026. The organization lists Emily Thayer, Owner, as its authorized official.

NPPES Registry Identity

NPI1023958394

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameMODERN REVIVAL THERAPY LLC

Location Address31560 SCHOOLCRAFT RDLivonia, MI 48150-1805

Mailing Address31560 Schoolcraft RdLivonia, MI 48150-1805 · (989) 619-2641

Phone(989) 619-2641

Organization SubpartNo

Authorized OfficialEmily ThayerOwner · (989) 619-2641

Enumeration DateMarch 30, 2026

Last NPPES UpdateApril 6, 20262 updates tracked since enumeration

NPPES CertifiedApril 6, 2026

✔ NPI 1023958394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

31560 SCHOOLCRAFT RD, Livonia, MI 48150

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LITTLE LANTERNS THERAPY LLC

Counselor (Mental Health)