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 provides Clinical Social Worker services 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.

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Practice location Address checks out

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

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