# YOUTH REVITALIZED HEALTH AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265375281
- **Authorized official:** MRS. MARCH E GRAY NP (OWNER)
- **Authorized official phone:** (903) 575-8870

## Contact information

- **Practice address:** 602 TITUS ST STE 120, GILMER, TX 75644-1779
- **Practice address phone:** (903) 843-5585
- **Mailing address:** PO BOX 1379, HUGHES SPRINGS, TX 75656-1379
- **Mailing address phone:** (903) 575-8870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/13/2026
- **Last updated:** 04/13/2026