Organization
REVIVAL COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH RACKLEY (OFFICE MANAGER)
(870) 243-8650
Entity
Organization
Contact information
Practice address
564 COUNTY ROAD 324, JONESBORO, AR 72401-9072
(870) 243-8650
Mailing address
4600 E NETTLETON AVE, JONESBORO, AR 72401-6546
(870) 243-8650
(501) 510-5917
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
08/05/2025
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