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

Revitalize and Restore Therapy

Organization Mental Health Counselor · NPI 1780571380

Revitalize and Restore Therapy is a Mental Health Counselor in Puyallup, Washington. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

12515 Meridian E Ste 203
Puyallup, WA 98373-3436
Phone: (253) 693-8588
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1780571380
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rachael Jordan — Licensed Provider, Owner · (253) 693-8588
Other names Rachael Jordan
NPI enumeratedJune 18, 2025
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025
Mailing address12515 Meridian E Ste 203, Puyallup, WA 98373-3436

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