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REVIVE RELATIONSHIP THERAPY INC.
NPI 1366965394
Marriage & Family Therapist in Chicago, IL

Active since July 21, 2017
1967 N DAYTON ST, CHICAGO, IL 60614(312) 714-5168 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, May 13, 2019, Jul 21, 2017 (3 updates tracked since 2017).

About Revive Relationship Therapy Inc. NPPES

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

REVIVE RELATIONSHIP THERAPY INC. (NPI 1366965394) is a healthcare organization registered as a marriage & family therapist in Chicago, Illinois and active in the NPI registry since July 2017. The organization maintains 2 additional practice locations and lists Amanda Berry, Owner, as its authorized official.

NPPES Registry Identity

NPI1366965394
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameREVIVE RELATIONSHIP THERAPY INC.
Location Address1967 N DAYTON STChicago, IL 60614
Mailing Address1236 W Webster Ave # 1Chicago, IL 60614-3140 · (312) 714-5168
Phone(312) 714-5168
Organization SubpartNo
Authorized OfficialAmanda BerryOwner · (312) 714-5168
Enumeration DateJuly 21, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1366965394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in IL · 166.01099
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1967 N DAYTON ST, Chicago, IL 60614
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Secondary Practice Locations 2

Location 11952 N Fremont St, CoachhouseChicago, IL 60614 · Phone (312) 714-5168
Location 2939 W North Ave Ste 750Chicago, IL 60642-7142 · Phone (312) 714-5168

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

AMANDA LAUREN BERRY
Marriage & Family Therapist
1967 N DAYTON ST
CHICAGO, IL 60614
Cook County (312) 714-5168

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 Revive Relationship Therapy Inc.'s NPI number?

The NPI number for Revive Relationship Therapy Inc. is 1366965394. It was assigned to this organization in the NPPES registry on July 21, 2017.

Where is Revive Relationship Therapy Inc. located?

Revive Relationship Therapy Inc. is located at 1967 N Dayton St, Chicago, IL 60614. The listed phone number is (312) 714-5168.

What is Revive Relationship Therapy Inc.'s specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Revive Relationship Therapy Inc. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.