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

Revival Counseling Services Incorporated

Organization Clinical Social Worker · NPI 1831647213

Revival Counseling Services Incorporated is a Clinical Social Worker in Douglasville, Georgia. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

5357 Chapel Hill Rd
Douglasville, GA 30135-5027
Phone: (770) 942-4742
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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

Record details

NPI number1831647213
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danielle Bonich — Sole Proprietor/Owner · (678) 656-8249
NPI enumeratedSeptember 14, 2016
Last updated in NPPESSeptember 14, 2016
Mailing address4131 High Country Dr, Douglasville, GA 30135-4265

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