Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pd Revival Medical, PLLC

Organization Marriage & Family Therapist · NPI 1124764030

Pd Revival Medical, PLLC is a Marriage & Family Therapist in Helena, Montana. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
5
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3130 Saddle Dr Ste 6B
Helena, MT 59601-8644
Phone: (307) 272-0843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Marriage & Family Therapist Taxonomy 106H00000X
Medical Physician Assistant Taxonomy 363AM0700X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1124764030
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hanna Powers — Pmhnp · (307) 272-0843
NPI enumeratedMay 12, 2022
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024
Mailing address3130 Saddle Dr, Stuite 6, Helena, MT 59601-8644

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