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General NPI Number Information
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NPI Number | 1801770557
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Entity Type | Organization
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Legal Business Name | REVELATION COUNSELING, LLC
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 11680 ROYALTON RD
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City | N ROYALTON
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State | OH
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Zip | 44133-4461
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Country | US
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Telephone | 440-879-8806
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 361431
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City | STRONGSVILLE
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State | OH
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Zip | 44136-0055
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Country | US
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Telephone | 440-879-8806
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Fax | 440-878-9897
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Authorized Official
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Title or Position | OWNER
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Name | TANYA INCK-FOLGER
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Credential |
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Telephone | 440-878-8806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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