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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