REVIVAL COUNSELING CENTER – NPI #1326713215
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

REVIVAL COUNSELING CENTER is a substance abuse rehabilitation facility located in JONESBORO, AR. NPPES has assigned the NPI number 1326713215 to REVIVAL COUNSELING CENTER on August 12, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on Aug 05, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for REVIVAL COUNSELING CENTER below.

NPI Profile for
REVIVAL COUNSELING CENTER

NPI Number
1326713215
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
REVIVAL COUNSELING CENTER
Primary location
564 COUNTY ROAD 324
JONESBORO, AR 72401-9072
Phone: (870) 243-8650 Fax:
1 Other location(s):
1632 Strawfloor Drive
Jonesboro, AR 72401-6546
Phone: (870) 243-8650
Mailing address
4600 E NETTLETON AVE
JONESBORO, AR 72401-6546
Phone: (870) 243-8650 Fax: (501) 510-5917
Organization Subpart
No
Authorized Official
SARAH RACKLEY
OFFICE MANAGER
Phone: (870) 243-8650
Updated
Certification Date
Aug 05, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.