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REVIVE PSYCHOTHERAPY PLLC
NPI 1790445880
Counselor - Professional in Austin, TX

Active since December 30, 2021
1103 CHERICO ST, UNITE 3, AUSTIN, TX 78702(512) 337-3692 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Revive Psychotherapy Pllc NPPES

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

REVIVE PSYCHOTHERAPY PLLC (NPI 1790445880) is a healthcare organization registered as a professional in Austin, Texas and active in the NPI registry since December 2021. The organization lists Marci Jacobs, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1790445880
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameREVIVE PSYCHOTHERAPY PLLC
Location Address1103 CHERICO ST, UNITE 3Austin, TX 78702
Mailing Address1103 Cherico St, Unite 3Austin, TX 78702 · (512) 337-3692
Phone(512) 337-3692
Organization SubpartNo
Authorized OfficialMarci JacobsManaging Member · (512) 337-3692
Enumeration DateDecember 30, 2021
NPPES CertifiedDecember 29, 2021
✔ NPI 1790445880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1103 CHERICO ST, Austin, TX 78702
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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

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

EVOLVE THERAPY PLLC
Counselor (Professional)
1103 CHERICO ST
AUSTIN, TX 78702
Travis County (214) 797-8888

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 Psychotherapy PLLC's NPI number?

The NPI number for Revive Psychotherapy PLLC is 1790445880. It was assigned to this organization in the NPPES registry on December 30, 2021.

Where is Revive Psychotherapy PLLC located?

Revive Psychotherapy PLLC is located at 1103 Cherico St Unite 3, Austin, TX 78702. The listed phone number is (512) 337-3692.

What is Revive Psychotherapy PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Revive Psychotherapy PLLC was last updated on December 30, 2021. 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.