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Revitalize Minds Counseling

Clinical Social Worker in West Memphis, AR · enumerated 2022 · authorized official Tangella Foreman, Therapist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1467188664

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Registry record

Entity type Organization (Type 2)
Legal business name Revitalize Minds Counseling
Practice address 312 N Missouri St Ste 1, West Memphis, AR, 72301
Fax (870) 796-8998
Enumeration date Jul 29, 2022
Last updated in NPPES Jan 16, 2023

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Primary

Authorized official

Name Tangella Foreman
Title Therapist

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Revitalize Minds Counseling?
Revitalize Minds Counseling is registered in NPPES as a Clinical Social Worker (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-01-16.