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

Revive Relationship Therapy Inc

Organization Marriage & Family Therapist · NPI 1366965394

Revive Relationship Therapy Inc is a Marriage & Family Therapist in Chicago, Illinois. Works from 3 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1967 N Dayton St
Chicago, IL 60614
Phone: (312) 714-5168
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1952 N Fremont St, Chicago, IL 60614 — (312) 714-5168
  • 939 W North Ave Ste 750, Chicago, IL 60642-7142 — (312) 714-5168

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 166.01099 (IL)

Record details

NPI number1366965394
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Berry — Owner · (312) 714-5168
NPI enumeratedJuly 21, 2017
Last updated in NPPESJuly 21, 2022
Mailing address1236 W Webster Ave # 1, Chicago, IL 60614-3140

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