Organization · Type 2 NPI
Revitalize Counseling & Consultation Services
Mental Health Clinic/Center (Including Community Mental Health Center) · Dyersburg, TN
NPI number
1053195263
Active
Practice location
610 Isaac Hayes Dr.
Dyersburg, TN 38024
Mailing address
610 Isaac Hayes Dr
Dyersburg, TN 38024-3668
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Early Intervention Provider Agency | 252Y00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Prison Health Clinic/Center | 261QP2400X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
About NPI 1053195263
Revitalize Counseling & Consultation Services's National Provider Identifier is 1053195263, issued on Aug 21, 2023. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Dyersburg, TN. The record was last updated on Mar 28, 2024.