Revitalize Minds Counseling
NPI #1467188664 in West Memphis, Arkansas
Provider Information
- NPI Number
- 1467188664
- Entity Type
- Organization
- Organization Name
- Revitalize Minds Counseling
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 29, 2022
- Last Updated
- Jan 16, 2023
Practice Location
- Address
- 312 N MISSOURI ST STE 1
- City
- West Memphis
- State
- Arkansas
- ZIP Code
- 72301-3186
- Phone
- (870) 796-8997
Authorized Official
- Name
- TANGELLA MICHELLE FOREMAN, LCSW
- Title
- THERAPIST
- Phone
- (870) 926-7344
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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