REVITALIZE COUNSELING SERVICES NPI 1013476639

NPI Information

  • NPI: 1013476639
  • Provider Name: REVITALIZE COUNSELING SERVICES
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 460 WILSON AVE
    VERSAILLES, KY
    ZIP 40383
  • Phone: (859) 753-6626

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NPI Details

REVITALIZE COUNSELING SERVICES is a mental health (including community mental health center) clinic center in Versailles, KY. REVITALIZE COUNSELING SERVICES NPI is 1013476639. The provider is registered as an organization entity type.

The provider's business location address is:

460 WILSON AVE
VERSAILLES, KY
ZIP 40383-947
Phone: (859) 753-6626
Fax: (859) 787-0552

The provider's authorized official is Alyssa Vitali .
The authorized official title is Director and has the following contact phone number (859) 753-0754.

The enumeration date for this NPI number is 3/13/2019 and was last updated on 6/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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