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REVITALIFE THERAPY & COUNSELING LLC
NPI 1811527500
Social Worker - Clinical in Chesapeake, VA

Active since January 22, 2020
1101 EXECUTIVE BLVD STE B, CHESAPEAKE, VA 23320(252) 231-2668(252) 377-4231 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revitalife Therapy & Counseling Llc NPPES

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

REVITALIFE THERAPY & COUNSELING LLC (NPI 1811527500) is a healthcare organization registered as a clinical in Chesapeake, Virginia and active in the NPI registry since January 2020. The organization lists Robby Ward, Owner, as its authorized official.

NPPES Registry Identity

NPI1811527500
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameREVITALIFE THERAPY & COUNSELING LLC
Location Address1101 EXECUTIVE BLVD STE BChesapeake, VA 23320-3634
Mailing Address212 Billetts Bridge RdCamden, NC 27921-7505 · (252) 231-2668 · Fax (252) 377-4231
Phone(252) 231-2668
Fax(252) 377-4231
Organization SubpartNo
Authorized OfficialRobby WardOwner · (252) 231-2668
Enumeration DateJanuary 22, 2020
✔ NPI 1811527500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
1101 EXECUTIVE BLVD STE B, Chesapeake, VA 23320
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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 Revitalife Therapy & Counseling LLC's NPI number?

The NPI number for Revitalife Therapy & Counseling LLC is 1811527500. It was assigned to this organization in the NPPES registry on January 22, 2020.

Where is Revitalife Therapy & Counseling LLC located?

Revitalife Therapy & Counseling LLC is located at 1101 Executive Blvd Ste B, Chesapeake, VA 23320. The listed phone number is (252) 231-2668.

What is Revitalife Therapy & Counseling 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 & Counseling LLC was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.