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REVERE COUNSELING AND CARE MANAGEMENT LLC
NPI 1114429412
Social Worker in Decatur, GA

Active since March 02, 2018
235 E PONCE DE LEON AVE STE 330, DECATUR, GA 30030(404) 281-5422 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2022, May 21, 2020, Dec 28, 2018 and 1 more (4 updates tracked since 2018).

About Revere Counseling And Care Management Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVERE COUNSELING AND CARE MANAGEMENT LLC (NPI 1114429412) is a healthcare organization registered as a social worker in Decatur, Georgia and active in the NPI registry since March 2018. The organization lists Stephanie Lynn Roach, Owner, as its authorized official.

NPPES Registry Identity

NPI1114429412
Entity TypeOrganization
Primary Taxonomy104100000X
Legal Business NameREVERE COUNSELING AND CARE MANAGEMENT LLC
Location Address235 E PONCE DE LEON AVE STE 330Decatur, GA 30030-3452
Mailing Address235 E Ponce De Leon Ave Ste 330Decatur, GA 30030-3452 · (404) 281-5422 · Fax (404) 377-0750
Phone(404) 281-5422
Organization SubpartNo
Authorized OfficialStephanie Lynn RoachOwner · (404) 736-3793
Enumeration DateMarch 2, 2018
Last NPPES UpdateJuly 19, 20224 updates tracked since enumeration
NPPES CertifiedJuly 19, 2022
✔ NPI 1114429412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in GA · CSW002619
Definition
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.
235 E PONCE DE LEON AVE STE 330, Decatur, GA 30030
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRACE KIM LCSW
Social Worker (Clinical)
235 E PONCE DE LEON AVE STE 330
DECATUR, GA 30030
Dekalb County (470) 601-7870
MS. KELLY CATHERINE MORGAN LCSW
Social Worker (Clinical)
235 E PONCE DE LEON AVE STE 330
DECATUR, GA 30030
Dekalb County (404) 301-9450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revere Counseling And Care Management LLC's NPI number?

The NPI number for Revere Counseling And Care Management LLC is 1114429412. It was assigned to this organization in the NPPES registry on March 2, 2018.

Where is Revere Counseling And Care Management LLC located?

Revere Counseling And Care Management LLC is located at 235 E Ponce De Leon Ave Ste 330, Decatur, GA 30030. The listed phone number is (404) 281-5422.

What is Revere Counseling And Care Management LLC's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Revere Counseling And Care Management LLC was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.