Revive Again Support Coordination Services LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

REVIVE AGAIN SUPPORT COORDINATION SERVICES LLC

Practice address

265 Hollow Ridge Ave
Gonzales, LA 70737-7545

Phone

(985) 232-8449

NPI assigned

Feb 10, 2026

Organization subpart

No

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

Authorized official

Name

Miyokia CarterNPI 1063956076

Title

Owner

Phone

(985) 232-8449

Specialties & licenses 1

Addresses

Practitioners 1

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

• Miyokia Carter

  • Professional Counselor
  • Thibodaux, LA
  • NPI 1063956076
  NPD Authorized official

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

{
    "created_epoch": "1770681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1609728120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 HOLLOW RIDGE AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707377545",
            "telephone_number": "985-232-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 HOLLOW RIDGE AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707377545",
            "telephone_number": "985-232-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE AGAIN SUPPORT COORDINATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "MIYOKIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-232-8449"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reforming Lives Counseling and Consulting, LLC
• Reggie Green
• Heidi Brignac Remondet
• Renewed Radiance
• Frances E Rensch, DDS
• Revive Again Therapeutic Services
• Revive Physical Therapy, LLC
• Trevor C. Richard, MD
• Nora Shipp Richardson-Foote, D.D.S.
• Camita Ricks

• Case Manager/Care Coordinator in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.