Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Revere Counseling and Care Management LLC

Organization Social Worker · NPI 1114429412

Revere Counseling and Care Management LLC provides Social Worker services in Decatur, Georgia. Licensed in Georgia. Registered with an NPI since 2018.

Licensed in
GA
In the registry since
2018
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

235 E Ponce De Leon Ave Ste 330
Decatur, GA 30030-3452
Phone: (404) 281-5422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence CSW002619 (GA)

Record details

NPI number1114429412
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Roach — Owner · (404) 736-3793
NPI enumeratedMarch 2, 2018
Last updated in NPPESJuly 19, 2022
Certification dateJuly 19, 2022
Mailing address235 E Ponce De Leon Ave Ste 330, Decatur, GA 30030-3452

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