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REVIVE COUNSELING PROFESSIONALS LLC
NPI 1164279055
Social Worker - Clinical in Townville, SC

Active since April 30, 2024
202 SANDY SHORES DR, TOWNVILLE, SC 29689(864) 832-2296 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Revive Counseling Professionals Llc NPPES

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

REVIVE COUNSELING PROFESSIONALS LLC (NPI 1164279055) is a healthcare organization registered as a clinical in Townville, South Carolina and active in the NPI registry since April 2024. The organization lists Jeremy Jason Ray, Mental Health Practitioner, as its authorized official.

NPPES Registry Identity

NPI1164279055
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameREVIVE COUNSELING PROFESSIONALS LLC
Location Address202 SANDY SHORES DRTownville, SC 29689-4247
Mailing Address202 Sandy Shores DrTownville, SC 29689-4247 · (864) 832-2296
Phone(864) 832-2296
Organization SubpartNo
Authorized OfficialJeremy Jason RayMental Health Practitioner · (864) 832-2296
Enumeration DateApril 30, 2024
NPPES CertifiedApril 30, 2024
✔ NPI 1164279055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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.
202 SANDY SHORES DR, Townville, SC 29689
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Revive Counseling Professionals LLC's NPI number?

The NPI number for Revive Counseling Professionals LLC is 1164279055. It was assigned to this organization in the NPPES registry on April 30, 2024.

Where is Revive Counseling Professionals LLC located?

Revive Counseling Professionals LLC is located at 202 Sandy Shores Dr, Townville, SC 29689. The listed phone number is (864) 832-2296.

What is Revive Counseling Professionals LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Revive Counseling Professionals LLC was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.