| Revolution Wellness | |
|
37283 Swamp Rd Ste 1102 Prairieville LA 70769-3232 | |
| (225) 931-5699 | |
| Not Available |
| Full Name | Revolution Wellness |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 37283 Swamp Rd Ste 1102, Prairieville, Louisiana |
| Authorized Official Name and Position | Holly Valentine (OWNER/NP) |
| Authorized Official Contact | 2259315699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revolution Wellness 37283 Swamp Rd Ste 1102 Prairieville LA 70769-3232 Ph: (225) 931-5699 | Revolution Wellness 37283 Swamp Rd Ste 1102 Prairieville LA 70769-3232 Ph: (225) 931-5699 |
| NPI Number | 1174411102 |
|---|---|
| Provider Enumeration Date | 06/26/2025 |
| Last Update Date | 06/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174411102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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