Revitalist
Revitalist is a Mental Health Counselor in Knoxville, Tennessee. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 7
Practice location Address checks out
10608 Flickenger LnKnoxville, TN 37922-3485
Phone: (865) 392-6262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
| Professional Counselor | Taxonomy 101YP2500X |
| Psychologist | Taxonomy 103T00000X |
| Counseling Psychologist | Taxonomy 103TC1900X |
| Infusion Therapy Clinic/Center | Taxonomy 261QI0500X |
| Multi-Specialty Clinic/Center | Taxonomy 261QM1300X |
Record details
| NPI number | 1073168241 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kathryn Walker — Principal Employee · (865) 392-6262 |
| NPI enumerated | August 5, 2019 |
| Last updated in NPPES | March 7, 2025 |
| Certification date | March 7, 2025 |
| Mailing address | 10608 Flickenger Ln, Knoxville, TN 37922-3485 |
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Jody Chris Reed
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