Revolutionary Wellness,Pllc

LBN: Revolutionary Wellness,Pllc
Revolutionary Wellness,Pllc is an health care organization with primary practice located at 109 W 7Th St Suite 235, Georgetown TX 78626-5763. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Revolutionary Wellness,Pllc can be contacted via phone (512) 788-5634, or through Margraves, Lisa A via phone (512) 569-4017.

Contact Information

Primary practice address
109 W 7Th St Suite 235 Georgetown TX 78626-5763
Phone: (512) 788-5634
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Margraves, Lisa A Licensed Clinical Social Worker (LCSW)
Phone: (512) 569-4017

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 69805 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 39121 Texas

Profile Details

NPI number 1609311455
LBN Legal business name Revolutionary Wellness,Pllc
DBA Doing business as
Authorized official Margraves, Lisa A Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2017
Last updated Jan 4th, 2017 - about 7 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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