| Organization Name: | REVISION STUDIO LLC THERAPY AND COUNSELING SERVICES |
| NPI Number: | 1841639556 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUDITH DEBORAH CROEN (OWNER) |
| Mailing Address: | 3 West End Avenue Old Greenwich |
| State: | CT US |
| Postal Code: | 068709203 |
| Phone Number: | 2032744284 |
| Fax Number: | |
| NPI Enumeration Date: | 06/17/2013 |
| NPI Last Update Date: | 01/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 004269 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |