Organization · Type 2 NPI

Revivication Counseling Services

Community/Behavioral Health Agency · Suffolk, VA

NPI number 1912561713 Active

Practice location

321 N Main St Suite C
Suffolk, VA 23434-4422

Call (727) 477-0102 Map

Fax (757) 477-0142

Mailing address

PO Box 1211
Suffolk, VA 23439

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker 1041C0700XNone listed
Community/Behavioral Health Agency Primary 251S00000XNone 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…

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About NPI 1912561713

Revivication Counseling Services's National Provider Identifier is 1912561713, issued on Apr 26, 2019. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Suffolk, VA. The record was last updated on Mar 21, 2022.