Revival Road Therapy PLLC
Revival Road Therapy PLLC is a Clinical Social Worker in Bloomington, Illinois. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
121 N Main St Ste 201Bloomington, IL 61701-7619
Phone: (309) 204-6260
Show map & directions
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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 number | 1518716992 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alexis Frantzen Crawford — Owner/Therapist · (309) 204-6260 |
| Other names | Revival Road Therapy Llc |
| NPI enumerated | May 16, 2024 |
| Last updated in NPPES | May 16, 2024 |
| Certification date | May 10, 2024 |
| Mailing address | 121 N Main St Ste 201, Bloomington, IL 61701-7619 |
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