PSYCH REVIVAL THERAPY LLC
NPI 1184447955
Social Worker - Clinical in Springfield, MO

Active since November 01, 2024
1675 E SEMINOLE ST, SPRINGFIELD, MO 65804(970) 208-7791 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Psych Revival Therapy Llc NPPES

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

PSYCH REVIVAL THERAPY LLC (NPI 1184447955) is a healthcare organization registered as a clinical in Springfield, Missouri and active in the NPI registry since November 2024. The organization lists Nichole Sprowso, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184447955
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePSYCH REVIVAL THERAPY LLC
Location Address1675 E SEMINOLE STSpringfield, MO 65804-2490
Mailing Address3097 N Dickerson AveSpringfield, MO 65803-1267 · (970) 208-7791
Organization SubpartNo
Authorized OfficialNichole SprowsoCeo · (970) 208-7791
Enumeration DateNovember 1, 2024
NPPES CertifiedNovember 1, 2024
NPI 1184447955 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.
1675 E SEMINOLE ST, Springfield, MO 65804

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.

Chiropractor
1675 E SEMINOLE ST, SUITE H2
SPRINGFIELD, MO 65804
Counselor (Professional)
1675 E SEMINOLE ST, SUITE H-2
SPRINGFIELD, MO 65804
Home Health
1675 E SEMINOLE ST, SUITE G-200
SPRINGFIELD, MO 65804
Nurse Practitioner (Psychiatric/Mental Health)
1675 E SEMINOLE ST
SPRINGFIELD, MO 65804
Nurse Practitioner (Psychiatric/Mental Health)
1675 E SEMINOLE ST
SPRINGFIELD, MO 65804
Nurse Practitioner (Psychiatric/Mental Health)
1675 E SEMINOLE ST
SPRINGFIELD, MO 65804

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 Psych Revival Therapy LLC's NPI number?

The NPI number for Psych Revival Therapy LLC is 1184447955. It was assigned to this organization in the NPPES registry on November 1, 2024.

Where is Psych Revival Therapy LLC located?

Psych Revival Therapy LLC is located at 1675 E Seminole St, Springfield, MO 65804. The listed phone number is (970) 208-7791.

What is Psych Revival Therapy LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Psych Revival Therapy LLC was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.