Organization · Type 2 NPI

Revitalist

Community/Behavioral Health Agency · Knoxville, TN

NPI number 1073168241 Active

Practice location

10608 Flickenger Ln
Knoxville, TN 37922-3485

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Professional Counselor	101YP2500X	None listed
Psychologist	103T00000X	None listed
Counseling Psychologist	103TC1900X	None listed
Community/Behavioral Health Agency Primary	251S00000X	None listed
Infusion Therapy Clinic/Center	261QI0500X	None listed
Multi-Specialty Clinic/Center	261QM1300X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

6 other providers at this address

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About NPI 1073168241

Revitalist's National Provider Identifier is 1073168241, issued on Aug 5, 2019. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Knoxville, TN. The record was last updated on Mar 7, 2025.