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

Revitalized Wellness

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1104682590

Revitalized Wellness is a Psychiatric/Mental Health Nurse Practitioner in Duncanville, Texas. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1043 Meadow Run Dr
Duncanville, TX 75137-3599
Phone: (972) 838-0652
Show map & directions

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 number1104682590
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charmeka Lipscomb — Owner · (972) 838-0652
NPI enumeratedFebruary 23, 2024
Last updated in NPPESFebruary 23, 2024
Certification dateFebruary 23, 2024
Mailing address539 W Commerce St # 4182, Dallas, TX 75208-1953

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