REVIVAL ROAD THERAPY PLLC
NPI 1518716992
Social Worker - Clinical in Bloomington, IL
About Revival Road Therapy Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVAL ROAD THERAPY PLLC (NPI 1518716992), doing business as Revival Road Therapy Llc, is a healthcare organization registered as a clinical in Bloomington, Illinois and active in the NPI registry since May 2024. The organization lists Alexis Frantzen Crawford, Owner/therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLOOMINGTON, IL 61701
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 Revival Road Therapy PLLC's NPI number?
The NPI number for Revival Road Therapy PLLC is 1518716992. It was assigned to this organization in the NPPES registry on May 16, 2024. The provider was formerly known as Revival Road Therapy LLC.
Where is Revival Road Therapy PLLC located?
Revival Road Therapy PLLC is located at 121 N Main St Ste 201, Bloomington, IL 61701. The listed phone number is (309) 204-6260.
What is Revival Road Therapy PLLC'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 Revival Road Therapy PLLC was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.