Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Revitalife Therapy & Counseling LLC

Organization Mental Health Counselor · NPI 1811527500

Revitalife Therapy & Counseling LLC is a Mental Health Counselor in Chesapeake, Virginia. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1101 Executive Blvd Ste B
Chesapeake, VA 23320-3634
Phone: (252) 231-2668
Fax: (252) 377-4231
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Counseling Psychologist Taxonomy 103TC1900X

Record details

NPI number1811527500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robby Ward — Owner · (252) 231-2668
NPI enumeratedJanuary 22, 2020
Last updated in NPPESJanuary 22, 2020
Certification dateJanuary 22, 2020
Mailing address212 Billetts Bridge Rd, Camden, NC 27921-7505

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