Revitalize Minds Counseling
NPI 1467188664ActiveOrganization· Social Worker, Clinical· West Memphis, AR
Social Worker, Clinical in West Memphis, Arkansas, registered in NPPES in July 2022. The authorized official on file is Tangella Michelle Foreman, LCSW, Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1467188664 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 29, 2022 |
| Last updated in NPPES | Jan 16, 2023 |
| Certified by provider | Aug 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|
Other clinical social workers in West Memphis
- 1316328941
- 1386447977
- 1720413842
- 1114894391
- 1134432602
- 1184828303
- 1376854273
- 1396762977
- 1417076456
- 1619348703
- 1053609537
- 1215298443
All 30 clinical social workers in West Memphis · All clinical social workers in Arkansas