REVITALIZE MINDS COUNSELING NPI 1467188664

NPI Details

REVITALIZE MINDS COUNSELING is a clinical social worker in West Memphis, AR. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. REVITALIZE MINDS COUNSELING NPI is 1467188664. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

312 N MISSOURI ST STE 1
WEST MEMPHIS, AR
ZIP 72301-186
Phone: (870) 796-8997
Fax: (870) 796-8998

The provider's authorized official is Tangella Michelle Foreman .
The authorized official title is Therapist and has the following contact phone number (870) 926-7344.

The enumeration date for this NPI number is 7/29/2022 and was last updated on 1/16/2023.

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: