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Contact Information

REVIVICATION COUNSELING SERVICES
321 N MAIN STREET
SUITE C
SUFFOLK, VA23434
 Phone: 757-477-0102
 Fax: 757-477-0142
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Counselor

101Y00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for REVIVICATION COUNSELING SERVICES

NPI # 1912561713
LBN Legal business name REVIVICATION COUNSELING SERVICES
Authorized official LEVITICUS LOFTON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/26/2019
Last updated 03/21/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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