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REVOLUTION HEALTH CENTER
NPI 1710473772
Counselor - Mental Health in Las Vegas, NV

Active since July 02, 2018
4300 N DECATUR BLVD, LAS VEGAS, NV 89130(702) 655-2101 Get Directions Write a Review

NPPES record last updated: July 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revolution Health Center NPPES

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

REVOLUTION HEALTH CENTER (NPI 1710473772) is a healthcare organization registered as a mental health in Las Vegas, Nevada and active in the NPI registry since July 2018. The organization lists David Grillo, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1710473772
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameREVOLUTION HEALTH CENTER
Location Address4300 N DECATUR BLVDLas Vegas, NV 89130
Mailing Address7570 Norman Rockwell Ln Ste 140Las Vegas, NV 89143-6012 · (702) 656-3264
Phone(702) 655-2101
Organization SubpartNo
Authorized OfficialDavid GrilloManaging Member · (310) 994-6411
Enumeration DateJuly 2, 2018
Last NPPES UpdateJuly 5, 2018
✔ NPI 1710473772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
4300 N DECATUR BLVD, Las Vegas, NV 89130
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Revolution Health Center's NPI number?

The NPI number for Revolution Health Center is 1710473772. It was assigned to this organization in the NPPES registry on July 2, 2018.

Where is Revolution Health Center located?

Revolution Health Center is located at 4300 N Decatur Blvd, Las Vegas, NV 89130. The listed phone number is (702) 655-2101.

What is Revolution Health Center's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Revolution Health Center was last updated on July 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.