REVIVAL THERAPY SERVICES LLC
NPI 1457008591
Counselor - Professional in Denver, CO
- Organization
- Counselor
- Professional
About REVIVAL THERAPY SERVICES LLC
This page provides the complete NPI Profile along with additional information for Revival Therapy Services Llc, a provider established in Denver, Colorado operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1457008591 assigned on March 2022. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Revival Therapy Services Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Sacha Lacasse (Director)
- NPI
- 1457008591 Verify this NPI
- Provider Name
- REVIVAL THERAPY SERVICES LLC
- Entity Type
- Organization
- Location Address
- 1133 N PENNSYLVANIA ST DENVER, CO 80203
- Location Phone
- (303) 551-0117
- Location Fax
- (303) 551-0117
- Mailing Address
- 1133 N PENNSYLVANIA ST DENVER, CO 80203
- Mailing Phone
- (303) 551-0117
- Mailing Fax
- (303) 551-0117
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-08-2022
- Last Update Date
- 10-25-2024
- Code Navigator
Location Map
Secondary Locations
- 3520 Austin Bluffs Pkwy Ste 101
Colorado Springs, CO 80918
(303) 551-0117
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 3 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457008591, enumerated as an "organization" on March 08, 2022.
The provider is located at 1133 N PENNSYLVANIA ST DENVER, CO 80203 and the phone number is (303) 551-0117.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
