| The Revival Room, Llc | |
|
301 N Spring St Ste 130 Bellefonte PA 16823-1543 | |
| (814) 343-1533 | |
| (888) 253-1993 |
| Full Name | The Revival Room, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 301 N Spring St Ste 130, Bellefonte, Pennsylvania |
| Authorized Official Name and Position | Jaycie Jabco (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7174878857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Revival Room, Llc 301 N Spring St Ste 130 Bellefonte PA 16823-1543 Ph: (814) 343-1533 | The Revival Room, Llc 301 N Spring St Ste 130 Bellefonte PA 16823-1543 Ph: (814) 343-1533 |
| NPI Number | 1760323265 |
|---|---|
| Provider Enumeration Date | 04/01/2026 |
| Last Update Date | 05/21/2026 |
| Certification Date | 05/21/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760323265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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