Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mental Health Pro PA Revived Wellness

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1366310112

Mental Health Pro PA Revived Wellness is a Psychiatric/Mental Health Nurse Practitioner in San Antonio, Texas. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4400 S Piedras Dr Ste 217
San Antonio, TX 78228-1223
Phone: (210) 903-3383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1366310112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victoria Abolarin — Owner Of Entity · (818) 300-9424
NPI enumeratedOctober 24, 2025
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing address7475 Callaghan Rd, San Antonio, TX 78229-2969

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