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REVITALIZED WELLNESS
NPI 1104682590
Nurse Practitioner - Psychiatric/Mental Health in Duncanville, TX

Active since February 23, 2024
1043 MEADOW RUN DR, DUNCANVILLE, TX 75137(972) 838-0652 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revitalized Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVITALIZED WELLNESS (NPI 1104682590) is a healthcare organization registered as a psychiatric/mental health in Duncanville, Texas and active in the NPI registry since February 2024. The organization lists Charmeka Lipscomb, Owner, as its authorized official.

NPPES Registry Identity

NPI1104682590
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameREVITALIZED WELLNESS
Location Address1043 MEADOW RUN DRDuncanville, TX 75137-3599
Mailing Address539 W Commerce St # 4182Dallas, TX 75208-1953
Phone(972) 838-0652
Organization SubpartNo
Authorized OfficialCharmeka LipscombOwner · (972) 838-0652
Enumeration DateFebruary 23, 2024
NPPES CertifiedFebruary 23, 2024
✔ NPI 1104682590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1043 MEADOW RUN DR, Duncanville, TX 75137
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revitalized Wellness's NPI number?

The NPI number for Revitalized Wellness is 1104682590. It was assigned to this organization in the NPPES registry on February 23, 2024.

Where is Revitalized Wellness located?

Revitalized Wellness is located at 1043 Meadow Run Dr, Duncanville, TX 75137. The listed phone number is (972) 838-0652.

What is Revitalized Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Revitalized Wellness accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Revitalized Wellness as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revitalized Wellness was last updated on February 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.