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REVIVE 3.23, LLC
NPI 1821778788
Social Worker - Clinical in Birmingham, AL

Active since July 24, 2023
200 BEACON PKWY W STE 101, BIRMINGHAM, AL 35209(205) 215-4211 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revive 3.23, Llc NPPES

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

REVIVE 3.23, LLC (NPI 1821778788) is a healthcare organization registered as a clinical in Birmingham, Alabama and active in the NPI registry since July 2023. The organization lists Joi Iman Gresham, Owner, as its authorized official.

NPPES Registry Identity

NPI1821778788
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameREVIVE 3.23, LLC
Location Address200 BEACON PKWY W STE 101Birmingham, AL 35209-3102
Mailing Address301 8th PlPleasant Grove, AL 35127-1829 · (205) 215-4211
Phone(205) 215-4211
Organization SubpartNo
Authorized OfficialJoi Iman GreshamOwner · (205) 215-4211
Enumeration DateJuly 24, 2023
NPPES CertifiedJuly 24, 2023
✔ NPI 1821778788 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.
200 BEACON PKWY W STE 101, Birmingham, AL 35209
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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 3.23, LLC's NPI number?

The NPI number for Revive 3.23, LLC is 1821778788. It was assigned to this organization in the NPPES registry on July 24, 2023.

Where is Revive 3.23, LLC located?

Revive 3.23, LLC is located at 200 Beacon Pkwy W Ste 101, Birmingham, AL 35209. The listed phone number is (205) 215-4211.

What is Revive 3.23, 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 3.23, LLC was last updated on July 24, 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.