REVIVING THERAPY & CONSULTING LLC
NPI 1053119446
Counselor - Professional in Saint Paul, MN

Active since March 03, 2025
2136 FORD PKWY, SAINT PAUL, MN 55116(605) 350-5232 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Reviving Therapy & Consulting Llc NPPES

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

REVIVING THERAPY & CONSULTING LLC (NPI 1053119446) is a healthcare organization registered as a professional in Saint Paul, Minnesota and active in the NPI registry since March 2025. The organization lists Emmanuel Nwala, Licensed Professional Clinical Coun, as its authorized official.

NPPES Registry Identity

NPI1053119446
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameREVIVING THERAPY & CONSULTING LLC
Location Address2136 FORD PKWYSaint Paul, MN 55116-2850
Mailing Address12460 Coral Sea St NeBlaine, MN 55449-6232 · (605) 350-5232
Organization SubpartNo
Authorized OfficialEmmanuel NwalaLicensed Professional Clinical Coun · (605) 350-5232
Enumeration DateMarch 3, 2025
NPPES CertifiedMarch 3, 2025
NPI 1053119446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2136 FORD PKWY, Saint Paul, MN 55116

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 6

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
2136 FORD PKWY
SAINT PAUL, MN 55116
Psychologist (Counseling)
2136 FORD PKWY, #200
SAINT PAUL, MN 55116
Community/Behavioral Health
2136 FORD PKWY
SAINT PAUL, MN 55116
Counselor (Professional)
2136 FORD PKWY
SAINT PAUL, MN 55116
Social Worker (Clinical)
2136 FORD PKWY
SAINT PAUL, MN 55116
Clinic/Center (Adult Mental Health)
2136 FORD PKWY
SAINT PAUL, MN 55116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reviving Therapy & Consulting LLC's NPI number?

The NPI number for Reviving Therapy & Consulting LLC is 1053119446. It was assigned to this organization in the NPPES registry on March 3, 2025.

Where is Reviving Therapy & Consulting LLC located?

Reviving Therapy & Consulting LLC is located at 2136 Ford Pkwy, Saint Paul, MN 55116. The listed phone number is (605) 350-5232.

What is Reviving Therapy & Consulting LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Reviving Therapy & Consulting LLC was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.