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

Revive 180 LLC

Organization Professional Counselor · NPI 1568197556

Revive 180 LLC is a Professional Counselor in Potosi, Missouri. Registered with an NPI since 2022.

In the registry since
2022
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

10071 Crescent Rd
Potosi, MO 63664-2040
Phone: (573) 438-9800
Fax: (573) 240-9916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1568197556
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christy Pashia — Professional Counselor/Owner · (573) 438-9800
NPI enumeratedJuly 22, 2022
Last updated in NPPESDecember 11, 2022
Certification dateDecember 11, 2022
Mailing address10071 Crescent Rd, Potosi, MO 63664-2040

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