Revel Living LLC
Revel Living LLC is an Adult Mental Health Clinic/Center in Evanston, Illinois. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1740 Ridge Ave Ste 305Evanston, IL 60201-5909
Phone: (312) 899-6184
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Mental Health Clinic/Center (primary) | Taxonomy 261QM0850X |
|---|---|
| Adolescent and Children Mental Health Clinic/Center | Taxonomy 261QM0855X |
Record details
| NPI number | 1538637277 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Vaughan — Owner/Therapist · (619) 952-8263 |
| NPI enumerated | November 12, 2018 |
| Last updated in NPPES | November 30, 2020 |
| Certification date | November 30, 2020 |
| Mailing address | 2619 Central St Apt 3, Evanston, IL 60201-6415 |
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