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Revivication Counseling Services
Community/Behavioral Health Agency in Suffolk, Virginia
NPI 1912561713

Revivication Counseling Services is a Community/Behavioral Health Agency based in Suffolk, VA. Revivication Counseling Services practices in Suffolk, VA. The NPI Number for Revivication Counseling Services is 1912561713 and holds a License No. (Virginia).

The current practice location address for Revivication Counseling Services is 321 N Main St Suite C, Suffolk, VA and can be reached out via phone at 727-477-0102 and via fax at 757-477-0142.

Location: 321 N Main St Suite C, Suffolk, VA, 23439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912561713
Provider Name
Revivication Counseling Services
Credential
Provider Entity Type
Organization
Address
321 N Main St Suite C, Suffolk, VA, 23439
Phone Number
727-477-0102
Fax Number
757-477-0142
Provider Enumeration Date
04/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
321 N Main St Suite C
City
Suffolk
State
Virginia
Zip
23434-4422
Phone Number
727-477-0102
Fax Number
757-477-0142
person
Provider Business Mailing Address Details
Address
321 N Main St Suite C
City
Suffolk
State
Virginia
Zip
23434-4422
Phone Number
727-477-0102
Fax Number
757-477-0142
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
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 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
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 5
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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