NPI Index

REVOLUTIONARY WELLNESS, PLLC

Clinic/Center - Adolescent and Children Mental Health

Active Organization
NPI: 1609311455

Practice Address

213 SINUSO DR
Georgetown, TX 78628

Phone: (512) 569-4017

Specialties

Specialty Code Primary License
Clinic/Center - Adult Mental Health 261QM0850X No -
Clinic/Center - Mental Health (Including Community Mental Health Center) 261QM0801X No -
Social Worker - Clinical 1041C0700X No -
Counselor - Professional 101YP2500X No -
Community/Behavioral Health 251S00000X No -
Clinic/Center - Adolescent and Children Mental Health 261QM0855X Yes -

Frequently Asked Questions

NPI 1609311455 is the National Provider Identifier for REVOLUTIONARY WELLNESS, PLLC, a Clinic/Center - Adolescent and Children Mental Health provider located in Georgetown, TX. This NPI was enumerated on January 4, 2017.

Quick Facts

NPI
1609311455
Type
Organization
Enumerated
Jan 4, 2017
Last Updated
Nov 10, 2025

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