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

Psych Revival Therapy LLC

Organization Clinical Social Worker · NPI 1184447955

Psych Revival Therapy LLC is a Clinical Social Worker in Springfield, Missouri. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1675 E Seminole St
Springfield, MO 65804-2490
Phone: (970) 208-7791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1184447955
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nichole Sprowso — Ceo · (970) 208-7791
NPI enumeratedNovember 1, 2024
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024
Mailing address3097 N Dickerson Ave, Springfield, MO 65803-1267

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