Organization · Type 2 NPI
Revitalife Therapy & Counseling LLC
Clinical Social Worker · Chesapeake, VA
Practice location
1101 Executive Blvd Ste B
Chesapeake, VA 23320-3634
Fax (252) 377-4231
Mailing address
212 Billetts Bridge Rd
Camden, NC 27921-7505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor | 101YP2500X | None listed |
| Counseling Psychologist | 103TC1900X | None listed |
| Clinical Social Worker Primary | 1041C0700X | None listed |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1811527500
Revitalife Therapy & Counseling LLC's National Provider Identifier is 1811527500, issued on Jan 22, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chesapeake, VA. The record was last updated on Jan 22, 2020.