Provider Demographics
NPI:1801770557
Name:REVELATION COUNSELING, LLC
Entity type:Organization
Organization Name:REVELATION COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:INCK-FOLGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-878-8806
Mailing Address - Street 1:PO BOX 361431
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-0055
Mailing Address - Country:US
Mailing Address - Phone:440-879-8806
Mailing Address - Fax:440-878-9897
Practice Address - Street 1:11680 ROYALTON RD
Practice Address - Street 2:
Practice Address - City:N ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133-4461
Practice Address - Country:US
Practice Address - Phone:440-879-8806
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty