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

Revive Therapy and Counseling LLC

Organization Clinical Social Worker · NPI 1144169186

Revive Therapy and Counseling LLC is a Clinical Social Worker in Portage, Michigan. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1651 W Centre Ave Ste 203
Portage, MI 49024-6313
Phone: (269) 360-2618
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1144169186
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Henson — Owner/Clinician · (269) 360-2618
NPI enumeratedMarch 26, 2026
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026
Mailing address1651 W Centre Ave Ste 203, Portage, MI 49024-6313

Other providers in Portage