REVITALIZE COUNSELING & CONSULTATION SERVICES NPI 1053195263

NPI Information

  • NPI: 1053195263
  • Provider Name: REVITALIZE COUNSELING & CONSULTATION SERVICES
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 610 ISAAC HAYES DR.
    DYERSBURG, TN
    ZIP 38024
  • Phone: (901) 569-2823

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NPI Details

REVITALIZE COUNSELING & CONSULTATION SERVICES is a mental health (including community mental health center) clinic center in Dyersburg, TN. REVITALIZE COUNSELING & CONSULTATION SERVICES NPI is 1053195263. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

610 ISAAC HAYES DR.
DYERSBURG, TN
ZIP 38024
Phone: (901) 569-2823

The provider's authorized official is Steven Foster Murphy .
The authorized official title is President and has the following contact phone number (901) 569-2823.

The enumeration date for this NPI number is 8/21/2023 and was last updated on 3/28/2024.

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
1101Y00000XCounselorNo
2251B00000XCase ManagementNo
3251S00000XCommunity/Behavioral HealthNo
4252Y00000XEarly Intervention Provider AgencyNo
5261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
6261QP2400XClinic/CenterPrison HealthNo

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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