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

Revitalize Minds Counseling

Organization Clinical Social Worker · NPI 1467188664

Revitalize Minds Counseling is a Clinical Social Worker in West Memphis, Arkansas. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

312 N Missouri St Ste 1
West Memphis, AR 72301-3186
Phone: (870) 796-8997
Fax: (870) 796-8998
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 927 Bayou Vista Dr, Marion, AR 72364-5076 — (870) 926-7344

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1467188664
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tangella Foreman — Therapist · (870) 926-7344
NPI enumeratedJuly 29, 2022
Last updated in NPPESJanuary 16, 2023
Certification dateAugust 5, 2022
Mailing address312 N Missouri St, West Memphis, AR 72301-3142

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