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REVITALIFE THERAPY LLC
NPI 1477911329
Social Worker - Clinical in Camden, NC

Active since February 08, 2016
212 BILLETTS BRIDGE RD, CAMDEN, NC 27921(646) 661-3840(252) 377-4231 Get Directions Write a Review

NPPES record last updated: February 8, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revitalife Therapy Llc NPPES

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

REVITALIFE THERAPY LLC (NPI 1477911329) is a healthcare organization registered as a clinical in Camden, North Carolina and active in the NPI registry since February 2016. The organization lists Robby Ward, Co Owner, as its authorized official.

NPPES Registry Identity

NPI1477911329
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameREVITALIFE THERAPY LLC
Location Address212 BILLETTS BRIDGE RDCamden, NC 27921-7505
Mailing Address212 Billetts Bridge RdCamden, NC 27921-7505 · (646) 661-3840 · Fax (252) 377-4231
Phone(646) 661-3840
Fax(252) 377-4231
Organization SubpartNo
Authorized OfficialRobby WardCo Owner · (646) 661-3840
Enumeration DateFebruary 8, 2016
✔ NPI 1477911329 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.
212 BILLETTS BRIDGE RD, Camden, NC 27921
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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

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

HEALTHCARE PARTNERS CONSULTING AND BILLING, LLC
Clinic/Center (Sleep Disorder Diagnostic)
212 BILLETTS BRIDGE RD
CAMDEN, NC 27921
Camden County (252) 231-2669

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 Revitalife Therapy LLC's NPI number?

The NPI number for Revitalife Therapy LLC is 1477911329. It was assigned to this organization in the NPPES registry on February 8, 2016.

Where is Revitalife Therapy LLC located?

Revitalife Therapy LLC is located at 212 Billetts Bridge Rd, Camden, NC 27921. The listed phone number is (646) 661-3840.

What is Revitalife Therapy 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 Revitalife Therapy LLC was last updated on February 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.