Revive and Restore Counseling Services PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

REVIVE AND RESTORE COUNSELING SERVICES PLLC

Practice address

626 N Main St
Waynesville, NC 28786-3820

Phone

(828) 550-0074

NPI assigned

Aug 6, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lori J Clancy, LCMHC, LCAS, CCSNPI 1457363046

Title

Owner

Phone

(828) 550-0074

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lori J Clancy, LPC

  • Professional Counselor
  • Waynesville, NC
  • NPI 1457363046
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659744000000",
    "number": "1518694702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 N MAIN ST",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863820",
            "telephone_number": "828-550-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 N MAIN ST",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863820",
            "telephone_number": "828-550-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE AND RESTORE COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-06",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A",
        "authorized_official_last_name": "CLANCY",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-550-0074",
        "authorized_official_credential": "LCMHC, LCAS, CCS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Charles Read, RPH.
• Wendy C Reams
• Melissa Renee Redditt, M.A. CCC-SLP
• Michael Lee Redmond, DO
• Corey Reno
• Alicia Reyes
• Jackie Rich
• Richland Community Care 1&2
• Amanda Lee Riehle, LCSW-A, LCAS
• RLHS Inc

• Professional Counselor in Waynesville, NC
• Providers in Waynesville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.