1073168241 REVITALIST

Community/Behavioral Health Agency

Active

Basic Information

Organization Name
REVITALIST
Enumeration Date
August 5, 2019
Last Update
March 7, 2025
Authorized Official
KATHRYN WALKER CRNA
PRINCIPAL EMPLOYEE
Phone: (865) 392-6262

Practice Location

Address
10608 FLICKENGER LN
KNOXVILLE, TN 379223485
Phone
(865) 392-6262

Mailing Address

Address
10608 FLICKENGER LN
KNOXVILLE, TN 379223485
Phone
N/A

Specialties & Taxonomies

Specialty Code Classification License State Primary
Mental Health Counselor
Mental Health
 101YM0800X Counselor N/A N/A No
Professional Counselor
Professional
 101YP2500X Counselor N/A N/A No
Psychologist
 103T00000X Psychologist N/A N/A No
Counseling Psychologist
Counseling
 103TC1900X Psychologist N/A N/A No
Infusion Therapy Clinic/Center
Infusion Therapy
 261QI0500X Clinic/Center N/A N/A No
Multi-Specialty Clinic/Center
Multi-Specialty
 261QM1300X Clinic/Center N/A N/A No
Community/Behavioral Health Agency
 251S00000X Community/Behavioral Health N/A N/A Primary

Frequently Asked Questions

What is REVITALIST's NPI number?
REVITALIST's NPI number is 1073168241.
Which doctor has NPI number 1073168241?
The doctor with NPI number 1073168241 is REVITALIST.
What is REVITALIST's practice address?
REVITALIST's practice address is 10608 FLICKENGER LN, KNOXVILLE, TN, 379223485.
Which doctor practices at 10608 FLICKENGER LN, KNOXVILLE, TN, 379223485?
REVITALIST practices at 10608 FLICKENGER LN, KNOXVILLE, TN, 379223485.
What is REVITALIST's phone number?
REVITALIST's phone number is (865) 392-6262.
Who is (865) 392-6262?
(865) 392-6262 is the phone number for REVITALIST.
What is REVITALIST's specialty?
REVITALIST's specialty is Community/Behavioral Health Agency.
What type of doctor is REVITALIST?
REVITALIST is a Community/Behavioral Health Agency.
Is REVITALIST a Community/Behavioral Health?
Yes, REVITALIST is a Community/Behavioral Health.
Is REVITALIST still practicing?
Yes, REVITALIST is currently practicing.
Is REVITALIST accepting new patients?
REVITALIST may be accepting new patients. Please call their office at (865) 392-6262 to inquire about availability.
Is NPI 1073168241 still active?
Yes, NPI 1073168241 is currently active.
Where does REVITALIST practice?
REVITALIST practices in KNOXVILLE, TN.