REVITALIFE THERAPY LLC (NPI# 1477911329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477911329 |
| Entity Type | Organization |
| Organization Name | REVITALIFE THERAPY LLC |
| Practice Address |
212 Billetts Bridge Rd Camden NC 27921-7505 |
| Practice Telephone | 6466613840 |
| Practice Fax Number | 2523774231 |
| Mailing Telephone | 6466613840 |
| Mailing Fax Number | 2523774231 |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |
| Authorized Official Name | ROBBY WARD (CO OWNER) |
| Authorized Official Telephone | 6466613840 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | RevitaLife Therapy LLC | 212 Billetts Bridge Rd, Camden, NC 27921-7505 |
| Street Address |
212 BILLETTS BRIDGE RD |
| City | CAMDEN |
| State | NC |
| Zip Code | 27921-7505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508264805 | Healthcare Partners Consulting and Billing, LLC | Clinic/Center | 212 Billetts Bridge Rd, Camden, NC 27921-7505 | 2014-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689858573 | Camden County Dept. Social Services | Case Management | 117 North Highway 343, Camden, NC 27921 | 2007-12-27 |
| 1043417496 | Bradley D Isbister | Family Medicine | 100 Plank Bridge Road, Camden, NC 27921 | 2007-06-29 |
| 1578604492 | Camden County Schools | Local Education Agency (LEA) | 175 North Hwy 343, Camden, NC 27921 | 2007-02-12 |
| 1629122437 | Albemarle Mental Health Center | Social Worker | 160-a Camden Medical Park, Camden, NC 27921 | 2007-01-22 |
| 1104907021 | Albemarle Regional Health Services | Home Health | 160 Us 158e, Bldg B, Camden, NC 27921 | 2006-10-18 |
| 1265513329 | Albemarle Regional Health Services | Clinic/Center | 160 Us 158 E, Bldg B, Camden, NC 27921 | 2006-10-17 |
| 1295246544 | Todds Pharmacy of Camden, Inc | Pharmacy | 100 Plank Bridge Road, Camden, NC 27921 | 2017-10-13 |
| 1740701929 | Todds Pharmacy of Camden, Inc | Pharmacy | 100 Plank Bridge Road, Suite A, Camden, NC 27921 | 2017-06-28 |
| 1376902684 | St. Jude's Ministries Inc. | Counselor | 207 Hwy 343 South, Church of The Redeemer Camden, Camden, NC 27921 | 2016-02-15 |
| 1902951163 | Albemarle Mental Health Center | Clinical Neuropsychologist | 160-a Camden Medical Park, Camden, NC 27921 | 2007-01-25 |
| Find all providers in zip 27921 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396355582 | Margaret O Wilson | Social Worker | 613 Randolph St, Camden, NJ 08105-2724 | 2020-08-03 |
| 1174154066 | Andrea N Thompson | Social Worker | 519 West St, Camden, NJ 08103-3522 | 2020-01-29 |
| 1326547431 | Gertrude Elizabeth Stoney | Social Worker | 518 Saddle Dr, Camden, SC 29020-1927 | 2018-02-04 |
| 1144748252 | Jessica Marie Perusse | Social Worker | 90 Taberg St, Camden, NY 13316-1432 | 2017-09-08 |
| 1932639390 | Heather Skarbek | Social Worker | 3 Cooper Plz Ste 102d, Camden, NJ 08103-1438 | 2017-06-18 |
| 1063944817 | Jon M St. Peter | Social Worker | 21 Elm St Ste 302, Camden, ME 04843-1902 | 2017-03-31 |
| 1740633148 | Judith Orme | Social Worker | 69 Elm St., #203, Camden, ME 04843 | 2016-07-20 |
| 1356742647 | Camden Counseling,llc | Social Worker | 258 E Camden Wyoming Ave, Camden, DE 19934-1303 | 2014-09-05 |
| 1164759221 | Charles Edward O'brien | Social Worker | 16 Tannery Ln, Suite 23, Camden, ME 04843-1750 | 2009-11-11 |
| 1447483979 | Robert H. Sagona | Social Worker | 357 Molyneaux Rd, Camden, ME 04843-4128 | 2009-09-01 |
| Find all providers in CAMDEN | ||||
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| 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.