| Revolutio LLC | |
|
419 E Main Street C3 Frisco CO 80443 | |
| (480) 232-5217 | |
| Not Available |
| Full Name | Revolutio LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 419 E Main Street C3, Frisco, Colorado |
| Authorized Official Name and Position | Dustin Thomas Straight (OWNER/PRIMARY THERAPIST) |
| Authorized Official Contact | 4802325217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revolutio LLC 419 E Main Street C3 Frisco CO 80443 Ph: (480) 232-5217 | Revolutio LLC 419 E Main Street C3 Frisco CO 80443 Ph: (480) 232-5217 |
| NPI Number | 1316859085 |
|---|---|
| Provider Enumeration Date | 09/18/2026 |
| Last Update Date | 10/13/2026 |
| Certification Date | 10/13/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316859085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 251S00000X | Community/behavioral Health | () | Primary |
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