PSYCH REVIVAL THERAPY LLC

SPRINGFIELD, MO
NPI1184447955
Entity TypeOrganization
Authorized ContactNICHOLE SPROWSO
CEO
970-208-7791
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2024-11-01
Last Update Date2024-11-01
Business Address
PSYCH REVIVAL THERAPY LLC
1675 E SEMINOLE ST
SPRINGFIELD, MO 65804-2490
Phone number: 970-208-7791
Mailing Address
PSYCH REVIVAL THERAPY LLC
3097 N DICKERSON AVE
SPRINGFIELD, MO 65803-1267
Phone number: 970-208-7791