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Organization

REVITALIZE COUNSELING & CONSULTATION SERVICES

Active
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Organization

REVITALIZE COUNSELING & CONSULTATION SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVEN FOSTER MURPHY LPC (PRESIDENT)
(901) 569-2823
Entity
Organization

Contact information

Practice address
610 ISAAC HAYES DR., DYERSBURG, TN 38024
(901) 569-2823
Mailing address
610 ISAAC HAYES DR, DYERSBURG, TN 38024-3668
(901) 569-2823

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
252Y00000X
Early Intervention Provider Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QP2400X
Prison Health Clinic/Center

Other

Enumeration date
08/21/2023
Last updated
03/28/2024
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