| Revolve Behavioral Health Pllc | |
|
7405 Cooper Ln Austin TX 78745-6307 | |
| (512) 588-2368 | |
| Not Available |
| Full Name | Revolve Behavioral Health Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 7405 Cooper Ln, Austin, Texas |
| Authorized Official Name and Position | Raymond Combs (THERAPIST) |
| Authorized Official Contact | 5125882368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revolve Behavioral Health Pllc 714 Bernstein St Austin TX 78745-5528 Ph: (512) 550-2376 | Revolve Behavioral Health Pllc 7405 Cooper Ln Austin TX 78745-6307 Ph: (512) 588-2368 |
| NPI Number | 1073035374 |
|---|---|
| Provider Enumeration Date | 07/09/2017 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073035374 | NPI | - | NPPES |
| 60227 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 60227 (Texas) | Primary |
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