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REVERE COUNSELING AND CARE MANAGEMENT LLC NPI 1114429412


NPI Information

NPI: 1114429412
Provider Name: REVERE COUNSELING AND CARE MANAGEMENT LLC
Classification: Social Worker - 104100000X
Entity Type: Organization
Address:
235 E PONCE DE LEON AVE STE 330
DECATUR, GA
ZIP 30030
Phone: (404) 281-5422
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REVERE COUNSELING AND CARE MANAGEMENT LLC is a social worker in Decatur, GA. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. REVERE COUNSELING AND CARE MANAGEMENT LLC NPI is 1114429412. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

235 E PONCE DE LEON AVE STE 330
DECATUR, GA
ZIP 30030-452
Phone: (404) 281-5422

The provider's authorized official is Stephanie Lynn Roach .
The authorized official title is Owner and has the following contact phone number (404) 736-3793.

The enumeration date for this NPI number is 3/2/2018 and was last updated on 7/19/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerCSW002619GEORGIAYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.