Organization
REVOLVE BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND COMBS LMSW (THERAPIST)
(512) 588-2368
Entity
Organization
Contact information
Practice address
7405 COOPER LN, AUSTIN, TX 78745-6307
(512) 588-2368
Mailing address
714 BERNSTEIN ST, AUSTIN, TX 78745-5528
(512) 550-2376
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
60227
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60227
—
TX
Enumeration date
07/09/2017
Last updated
06/11/2019
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