Modern Revival Therapy LLC
NPI 1023958394 · Clinical Social Worker · Livonia, MI
Modern Revival Therapy LLC is a Clinical Social Worker organization in Livonia, MI (NPI 1023958394).
Provider details
- NPI number
- 1023958394
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Emily Thayer, Owner(989) 619-2641
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-03-30
- Last updated
- 2026-04-06
- Certified
- 2026-04-06
Frequently asked questions
- What is Modern Revival Therapy LLC's NPI number?
- Modern Revival Therapy LLC's National Provider Identifier (NPI) is 1023958394, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Revival Therapy LLC?
- Modern Revival Therapy LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Modern Revival Therapy LLC located?
- Modern Revival Therapy LLC's practice location on file with NPPES is 31560 Schoolcraft Rd, Livonia, MI 48150-1805.
- What is Modern Revival Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Modern Revival Therapy LLC is (989) 619-2641.
- Who is the authorized official for Modern Revival Therapy LLC?
- The authorized official listed on Modern Revival Therapy LLC's NPPES record is Emily Thayer, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Revival Therapy LLC's NPI active?
- Yes — Modern Revival Therapy LLC's NPI (1023958394) is active in the NPPES registry as of the last update on 2026-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.