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REVIVE THERAPY AND WELLNESS LLC
NPI 1780446476
Social Worker - Clinical in Belvidere, IL

Active since January 29, 2024
1818 LOGAN AVE, BELVIDERE, IL 61008(815) 575-9887(815) 534-1437 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2026, Mar 31, 2026, Jan 9, 2025 (3 updates tracked since 2025).

About Revive Therapy And Wellness Llc NPPES

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

REVIVE THERAPY AND WELLNESS LLC (NPI 1780446476), doing business as Shelli L Pollard Llc, is a healthcare organization registered as a clinical in Belvidere, Illinois and active in the NPI registry since January 2024. The organization lists Shelli Pollard, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1780446476
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameREVIVE THERAPY AND WELLNESS LLC
Location Address1818 LOGAN AVEBelvidere, IL 61008-6412
Mailing Address1818 Logan AveBelvidere, IL 61008-6412 · (815) 575-9887 · Fax (815) 534-1437
Phone(815) 575-9887
Fax(815) 534-1437
Organization SubpartNo
Authorized OfficialShelli PollardOwner/therapist · (815) 575-9887
Enumeration DateJanuary 29, 2024
Last NPPES UpdateApril 28, 20263 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1780446476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedChiropractorTaxonomy 111N00000X
1818 LOGAN AVE, Belvidere, IL 61008
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Other Names 1

Former Legal Business NameShelli L Pollard Llc

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.

SHELLI POLLARD LCSW
Social Worker (Clinical)
1818 LOGAN AVE
BELVIDERE, IL 61008
Boone County (815) 575-9887

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 Therapy And Wellness LLC's NPI number?

The NPI number for Revive Therapy And Wellness LLC is 1780446476. It was assigned to this organization in the NPPES registry on January 29, 2024. The provider was formerly known as Shelli L Pollard LLC.

Where is Revive Therapy And Wellness LLC located?

Revive Therapy And Wellness LLC is located at 1818 Logan Ave, Belvidere, IL 61008. The listed phone number is (815) 575-9887.

What is Revive Therapy And Wellness 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 Revive Therapy And Wellness LLC was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.