REVITALIST
NPI 1073168241
Community/Behavioral Health in Knoxville, TN
- Organization
- Community/Behavioral Health
About REVITALIST
This page provides the complete NPI Profile along with additional information for Revitalist, a provider established in Knoxville, Tennessee operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1073168241 assigned on August 2019. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Revitalist operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kathryn Walker Crna (Principal Employee)
- NPI
- 1073168241 Verify this NPI
- Provider Name
- REVITALIST
- Entity Type
- Organization
- Location Address
- 10608 FLICKENGER LN KNOXVILLE, TN 37922
- Location Phone
- (865) 392-6262
- Mailing Address
- 10608 FLICKENGER LN KNOXVILLE, TN 37922
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-05-2019
- Last Update Date
- 03-07-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- 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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | |
| 3 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | |
| 4 | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | |
| 5 | 261QI0500X | Ambulatory Health Care Facilities | Clinic/Center | |
| 6 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
KNOXVILLE, TN 37922
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073168241, enumerated as an "organization" on August 05, 2019.
The provider is located at 10608 FLICKENGER LN KNOXVILLE, TN 37922 and the phone number is (865) 392-6262.
Community/Behavioral Health with taxonomy code 251S00000X.
