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

Revival Therapy, PC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1376150896

Revival Therapy, PC is an Addiction (Substance Use Disorder) Counselor in Crystal Lake, Illinois. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

330 W Terra Cotta Ave Ste A
Crystal Lake, IL 60014
Phone: (815) 382-9691
Fax: (815) 800-0670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1376150896
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sara Lemke — Ceo/Practice Owner · (815) 451-6585
Other names Revival Therapy, Inc.
NPI enumeratedSeptember 29, 2020
Last updated in NPPESAugust 9, 2024
Certification dateFebruary 2, 2021
Mailing address330 W. Terra Cotta Ave., Suite A, Crystal Lake, IL 60014

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