Revival Counseling Center

LBN: Revival Counseling Center
Revival Counseling Center is an health care organization with primary practice located at 1632 Strawfloor Drive , Jonesboro AR 72401-6546. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Revival Counseling Center can be contacted via phone (870) 243-8650, or through Rackley, Sarah via phone (870) 243-8650.

Contact Information

Primary practice address
1632 Strawfloor Drive Jonesboro AR 72401-6546
Phone: (870) 243-8650
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rackley, Sarah
Phone: (870) 243-8650

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1326713215
LBN Legal business name Revival Counseling Center
DBA Doing business as
Authorized official Rackley, Sarah
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2021
Last updated Jun 2nd, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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