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Organization
REVOLVE WELLNESS HUB LLC
Active
Organization
REVOLVE WELLNESS HUB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UZOAMAKA MBADUGHA (CRNP-PMH)
(443) 201-6063
Entity
Organization
Contact information
Practice address
1190 WINTERSON RD STE 200, LINTHICUM, MD 21090-2245
(443) 201-6063
Mailing address
1190 WINTERSON RD STE 200, LINTHICUM, MD 21090-2245
(443) 318-3289
(443) 788-1787
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/21/2024
Last updated
04/20/2026
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