Revolutionary Wellness, Pllc

LBN: Revolutionary Wellness, Pllc
Revolutionary Wellness, Pllc is an health care organization with primary practice located at 213 Sinuso Dr , Georgetown TX 78628-1533. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Revolutionary Wellness, Pllc can be contacted via phone (512) 569-4017, or through Margraves, Lisa A via phone (512) 569-4017.

Contact Information

Primary practice address
213 Sinuso Dr Georgetown TX 78628-1533
Phone: (512) 569-4017
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
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

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 Nov 10th, 2025 - about last year

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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