REVIVAL COUNSELING SERVICES INCORPORATED
NPI 1831647213
Social Worker - Clinical in Douglasville, GA

Active since September 14, 2016
5357 CHAPEL HILL RD, DOUGLASVILLE, GA 30135(770) 942-4742 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revival Counseling Services Incorporated NPPES

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

REVIVAL COUNSELING SERVICES INCORPORATED (NPI 1831647213) is a healthcare organization registered as a clinical in Douglasville, Georgia and active in the NPI registry since September 2016. The organization lists Danielle Bonich, Sole Proprietor/owner, as its authorized official.

NPPES Registry Identity

NPI1831647213
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameREVIVAL COUNSELING SERVICES INCORPORATED
Location Address5357 CHAPEL HILL RDDouglasville, GA 30135-5027
Mailing Address4131 High Country DrDouglasville, GA 30135-4265 · (678) 656-8249
Organization SubpartNo
Authorized OfficialDanielle BonichSole Proprietor/owner · (678) 656-8249
Enumeration DateSeptember 14, 2016
NPI 1831647213 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.
5357 CHAPEL HILL RD, Douglasville, GA 30135

Other Identifiers 1

Other4829878GA · Cigna

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 4

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

Social Worker (Clinical)
5357 CHAPEL HILL RD
DOUGLASVILLE, GA 30135
Social Worker (Clinical)
5357 CHAPEL HILL RD
DOUGLASVILLE, GA 30135
Counselor (Professional)
5357 CHAPEL HILL RD
DOUGLASVILLE, GA 30135
Counselor (Professional)
5357 CHAPEL HILL RD
DOUGLASVILLE, GA 30135

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 Revival Counseling Services Incorporated's NPI number?

The NPI number for Revival Counseling Services Incorporated is 1831647213. It was assigned to this organization in the NPPES registry on September 14, 2016.

Where is Revival Counseling Services Incorporated located?

Revival Counseling Services Incorporated is located at 5357 Chapel Hill Rd, Douglasville, GA 30135. The listed phone number is (770) 942-4742.

What is Revival Counseling Services Incorporated'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 Revival Counseling Services Incorporated was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.