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REVITALIZE MINDS COUNSELING
NPI 1467188664
Social Worker - Clinical in West Memphis, AR

Active since July 29, 2022
312 N MISSOURI ST STE 1, WEST MEMPHIS, AR 72301(870) 796-8997(870) 796-8998 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 16, 2023, Jul 29, 2022 (2 updates tracked since 2022).

About Revitalize Minds Counseling NPPES

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

REVITALIZE MINDS COUNSELING (NPI 1467188664) is a healthcare organization registered as a clinical in West Memphis, Arkansas and active in the NPI registry since July 2022. The organization maintains a secondary practice location in Marion and lists Tangella Michelle Foreman, Therapist, as its authorized official.

NPPES Registry Identity

NPI1467188664
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameREVITALIZE MINDS COUNSELING
Location Address312 N MISSOURI ST STE 1West Memphis, AR 72301-3186
Mailing Address312 N Missouri StWest Memphis, AR 72301-3142 · (870) 796-8997 · Fax (870) 796-8998
Phone(870) 796-8997
Fax(870) 796-8998
Organization SubpartNo
Authorized OfficialTangella Michelle ForemanTherapist · (870) 926-7344
Enumeration DateJuly 29, 2022
Last NPPES UpdateJanuary 16, 20232 updates tracked since enumeration
NPPES CertifiedAugust 5, 2022
✔ NPI 1467188664 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.
312 N MISSOURI ST STE 1, West Memphis, AR 72301
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Secondary Practice Location 1

Location 1927 Bayou Vista DrMarion, AR 72364-5076 · Phone (870) 926-7344

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

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

MENDING MINDS COUNSELING AND CONSULTATION, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
312 N MISSOURI ST STE 1
WEST MEMPHIS, AR 72301
Crittenden County (901) 674-5419

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 Revitalize Minds Counseling's NPI number?

The NPI number for Revitalize Minds Counseling is 1467188664. It was assigned to this organization in the NPPES registry on July 29, 2022.

Where is Revitalize Minds Counseling located?

Revitalize Minds Counseling is located at 312 N Missouri St Ste 1, West Memphis, AR 72301. The listed phone number is (870) 796-8997.

What is Revitalize Minds Counseling'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 Revitalize Minds Counseling was last updated on January 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.