Organization · Type 2 NPI
Revolutionary Wellness, PLLC
Adolescent and Children Mental Health Clinic/Center · Georgetown, TX
Practice location
213 Sinuso Dr
Georgetown, TX 78628-1533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center Primary | 261QM0855X | None listed |
Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
7 other providers at this address
- Bethany A. ZimmermanProfessional Counselor Georgetown, TX NPI 1275409815
- Caitlyn Ashley Collins, LPC ASSOCIATEMental Health Counselor Georgetown, TX NPI 1386415693
- Cara WakefieldProfessional Counselor Georgetown, TX NPI 1720992860
- Lisa A. MargravesClinical Social Worker Georgetown, TX NPI 1124566336
- Sara Schaffer, LPC-ASSOCIATEProfessional Counselor Georgetown, TX NPI 1972340602
- Shauna Donovan Knutson, LPC-ASSOCIATEMental Health Counselor Georgetown, TX NPI 1003634189
- Tiffany Otting, LPCProfessional Counselor Georgetown, TX NPI 1346697125
Other adolescent and children mental health clinic/center providers in Georgetown
About NPI 1609311455
Revolutionary Wellness, PLLC's National Provider Identifier is 1609311455, issued on Jan 4, 2017. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Georgetown, TX. The record was last updated on Nov 10, 2025.