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Revive Counseling And Wellness Center
Adolescent and Children Mental Health Clinic/Center in Malden, Massachusetts
NPI 1558969840

Revive Counseling And Wellness Center is an Adolescent and Children Mental Health Clinic/Center based in Malden, MA and is specialized in Adolescent and Children Mental Health. Revive Counseling And Wellness Center practices in Malden, MA. The NPI Number for Revive Counseling And Wellness Center is 1558969840 and holds a License No. (Massachusetts).

The current practice location address for Revive Counseling And Wellness Center is 388 Pleasant St Ste 201A, Malden, MA and can be reached out via phone at 617-329-1253.

Location: 388 Pleasant St Ste 201A, Malden, MA, 02148-6013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558969840
Provider Name
Revive Counseling And Wellness Center
Credential
Provider Entity Type
Organization
Address
388 Pleasant St Ste 201A, Malden, MA, 02148-6013
Phone Number
617-329-1253
Fax Number
Provider Enumeration Date
10/09/2020
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1134532146 01 MA MENTAL HEALTH SERVICES
1134532146 05 MA
institution
Provider Business Practice Location Address Details
Address
388 Pleasant St Ste 201A
City
Malden
State
Massachusetts
Zip
02148-8143
Phone Number
617-329-1253
Fax Number
person
Provider Business Mailing Address Details
Address
388 Pleasant St Ste 201A
City
Malden
State
Massachusetts
Zip
02148-8143
Phone Number
617-329-1253
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 7
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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