Revolutionary Wellness

LBN: Dawn D Prather Llc
Revolutionary Wellness is an health care organization with primary practice located at 1629 K St Nw Ste 300 , Washington DC 20006-1631. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Dawn D Prather Llc can be contacted via phone (202) 660-9770, or through Prather, Dawn via phone (301) 254-2446.

Contact Information

Primary practice address
1629 K St Nw Ste 300 Washington DC 20006-1631
Phone: (202) 660-9770
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Prather, Dawn LICSW, LCSW
Phone: (301) 254-2446

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1811573959
LBN Legal business name Dawn D Prather Llc
DBA Doing business as Revolutionary Wellness
Authorized official Prather, Dawn LICSW, LCSW
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2021
Last updated Jul 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811573959 NPPES
Virginia Other 0904014216 LCSW
Virginia Other LC50080117 LCSW

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