REVOLUTIONARY WELLNESS, PLLC
NPI 1609311455
Clinic/Center - Adolescent and Children Mental Health in Georgetown, TX

Q: What is Revolutionary Wellness, PLLC's NPI number?

The NPI number for Revolutionary Wellness, PLLC is 1609311455. It was assigned to this organization in the NPPES registry on January 4, 2017.

Q: What is Revolutionary Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Active since January 04, 2017

213 SINUSO DR, GEORGETOWN, TX 78628(512) 569-4017 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2025, Aug 20, 2024, Jan 4, 2017 (3 updates tracked since 2017).

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About Revolutionary Wellness, Pllc NPPES

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

REVOLUTIONARY WELLNESS, PLLC (NPI 1609311455) is a healthcare organization registered as an adolescent and children mental health in Georgetown, Texas and active in the NPI registry since January 2017. The organization lists Lisa A Margraves, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1609311455

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameREVOLUTIONARY WELLNESS, PLLC

Location Address213 SINUSO DRGeorgetown, TX 78628-1533

Mailing Address213 Sinuso DrGeorgetown, TX 78628-1533 · (512) 569-4017

Phone(512) 569-4017

Organization SubpartNo

Authorized OfficialLisa A MargravesManaging Partner · (512) 569-4017

Enumeration DateJanuary 4, 2017

Last NPPES UpdateNovember 10, 20253 updates tracked since enumeration

NPPES CertifiedNovember 10, 2025

✔ NPI 1609311455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

Definition

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.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

213 SINUSO DR, Georgetown, TX 78628

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Accepted Insurance

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

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAUNA DONOVAN KNUTSON LPC-ASSOCIATE

Counselor (Mental Health)