NPI 1053195263
Revitalize Counseling & Consultation Services
Practice location
- Address
- 610 Isaac Hayes Dr., Dyersburg, TN 38024
- Phone
- (901) 569-2823
- Mailing address
- 610 Isaac Hayes Dr, Dyersburg, TN 38024-3668
Authorised official
- Name
- Steven Foster Murphy
- Title
- President
- Phone
- (901) 569-2823
Registered specialties (6)
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
Counselor
Case Management Agency
Community/Behavioral Health Agency
Early Intervention Provider Agency
Prison Health Clinic/Center
Registry record
- NPI
- 1053195263
- Entity type
- Organization
- NPI issued
- 21 Aug 2023
- Record last updated
- 28 Mar 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.