Revive Counseling and Wellness Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

REVIVE COUNSELING AND WELLNESS SERVICES

Practice address

2615 6TH St Ste 8
Tuscaloosa, AL 35401-1727

Phone

(205) 246-1656

NPI assigned

Jan 23, 2024

Organization subpart

No

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

Authorized official

Name

Krystle White, LPCNPI 1356897730

Title

Owner, Therapist

Phone

(205) 246-1656

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krystle White, LPC, JSOCC

  • Counselor
  • Tuscaloosa, AL
  • NPI 1356897730

  Mental Health

  NPD Authorized official
• Traonda Ward

  • Mental Health Counselor
  • Tuscaloosa, AL
  • NPI 1417826819
  NPD

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1699537944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SOUTHVIEW LN STE 103-115",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354056390",
            "telephone_number": "205-246-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 6TH ST STE 8",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011727",
            "telephone_number": "205-246-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE COUNSELING AND WELLNESS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KRYSTLE",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "205-246-1656",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.