Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MENTAL HEALTH PRO PA REVIVED WELLNESS
Active
Organization
MENTAL HEALTH PRO PA REVIVED WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA ENEYI ABOLARIN (OWNER OF ENTITY)
(818) 300-9424
Entity
Organization
Contact information
Practice address
4400 S PIEDRAS DR STE 217, SAN ANTONIO, TX 78228-1223
(210) 903-3383
Mailing address
7475 CALLAGHAN RD, SAN ANTONIO, TX 78229-2969
(210) 903-3383
(210) 544-5194
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/24/2025
Last updated
03/05/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers