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

Revive Again Support Coordination Services LLC

Organization Case Manager/Care Coordinator · NPI 1609728120

Revive Again Support Coordination Services LLC is a Case Manager/Care Coordinator in Gonzales, Louisiana. Registered with an NPI since 2026.

In the registry since
2026
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

265 Hollow Ridge Ave
Gonzales, LA 70737-7545
Phone: (985) 232-8449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1609728120
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Miyokia Carter — Owner · (985) 232-8449
NPI enumeratedFebruary 10, 2026
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026
Mailing address265 Hollow Ridge Ave, Gonzales, LA 70737-7545

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