REVITALIZE COUNSELING SERVICES (NPI# 1013476639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013476639 |
| Entity Type | Organization |
| Organization Name | REVITALIZE COUNSELING SERVICES |
| Practice Address |
411 Ryne Ct Versailles KY 40383-1390 |
| Practice Telephone | 8597530754 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-03-13 |
| Authorized Official Name | MS. ALYSSA VITALI (DIRECTOR) |
| Authorized Official Telephone | 8597530754 |
| Authorized Official Credential | LPCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
411 RYNE CT |
| City | VERSAILLES |
| State | KY |
| Zip Code | 40383-1390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154791630 | Alyssa P. Vitali | Counselor | 411 Ryne Ct, Versailles, KY 40383-1390 | 2015-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184037798 | The Nile Ministries Inc | Substance Abuse Rehabilitation Facility | 4185 Lexington Road, Versailles, KY 40383 | 2014-06-11 |
| 1710259932 | Jessica Marie Rucker | Massage Therapist | 260 Crossfield Dr., Unit 2, Versailles, KY 40383 | 2012-02-03 |
| 1154657724 | Steps Ahead, Inc. | Case Manager/Care Coordinator | 500 Limestone Trce, Versailles, KY 40383 | 2009-11-02 |
| 1831393297 | Mary J Watts | Dentist | 230 Frankfort St, Ste 5, Versailles, KY 40383 | 2007-06-12 |
| 1447372263 | Harry M Watts | Dentist | 210 Crossfield Dr, Versailles, KY 40383 | 2007-04-04 |
| 1699824714 | Paula L Everhart | Social Worker | 163 Spring Run St, Versailles, KY 40383 | 2007-01-09 |
| 1457419665 | Henry M West | Family Medicine | 290 Lexington St, Versailles, KY 40383 | 2006-12-04 |
| 1588774202 | Eric L Quillen | Dentist | 156 Frankfort Street, Versailles, KY 40383 | 2006-08-30 |
| 1386677599 | Woodford Physical Therapy, Psc | Physical Therapist | 115 C Crossfield Dr., Versailles, KY 40383 | 2006-07-09 |
| 1003845751 | Woodford County | Ambulance | 86 Big Sink Rd, Versailles, KY 40383 | 2006-07-02 |
| Find all providers in zip 40383 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720546146 | National Youth Advocate Program, Inc | Clinic/Center | 839 S Adams St, Versailles, IN 47042-9422 | 2019-03-05 |
| 1821032913 | New Vista of The Bluegrass Inc | Clinic/Center | 125 B Big Sink Pike, Versailles, KY 40383-1558 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730532 | Reflection In Practice Counseling and Consultation | Clinic/Center | 1355 Bardstown Rd, Louisville, KY 40204-1353 | 2020-11-03 |
| 1568069326 | Evolve Lou Counseling | Clinic/Center | 1309 Cecil Ave, Louisville, KY 40211-2418 | 2020-10-05 |
| 1265048748 | Therapy Pros, Inc. | Clinic/Center | 928 Idlewild Ct, Lexington, KY 40505-3634 | 2020-09-19 |
| 1538791165 | Bhg Lviii, LLC | Clinic/Center | 1000 Ace Drive, Berea, KY 40403-1327 | 2020-02-11 |
| 1538791140 | Bhg Lviii, LLC | Clinic/Center | 2705 Olivet Church Road, Paducah, KY 42001-9755 | 2020-02-11 |
| 1356987929 | Faraday Kentucky, LLC | Clinic/Center | 10000 Shelbyville Rd Ste 101, Louisville, KY 40223-2973 | 2019-11-19 |
| 1568004976 | Good Shepherd Institute of The Bluegrass | Clinic/Center | 307 W Dixie Ave, Elizabethtown, KY 42701-1701 | 2019-10-17 |
| 1831746767 | Journey Through Counseling LLC | Clinic/Center | 2614 Utah Dr, Bowling Green, KY 42104-4263 | 2019-08-26 |
| 1578020210 | The Family Healing Center, Inc | Clinic/Center | 241 East Main Street, Morehead, KY 40351 | 2019-03-01 |
| 1033674254 | Mind, Body, Soul, LLC | Clinic/Center | 1325 Us 45 S, Suite C, Mayfield, KY 42066 | 2019-02-01 |
| Find all providers with the same taxonomy | ||||
| City | VERSAILLES |
| Zip Code | 40383 |
Please comment or provide details below to improve the information on REVITALIZE COUNSELING SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.