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

Revive Counseling Professionals LLC

Organization Clinical Social Worker · NPI 1164279055

Revive Counseling Professionals LLC is a Clinical Social Worker in Townville, South Carolina. Registered with an NPI since 2024.

In the registry since
2024
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

202 Sandy Shores Dr
Townville, SC 29689-4247
Phone: (864) 832-2296
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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 number1164279055
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Ray — Mental Health Practitioner · (864) 832-2296
NPI enumeratedApril 30, 2024
Last updated in NPPESApril 30, 2024
Certification dateApril 30, 2024
Mailing address202 Sandy Shores Dr, Townville, SC 29689-4247

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