Organization Active NPI

Revolve Wellness Hub LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Linthicum, MD
National Provider Identifier
1174362974
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
REVOLVE WELLNESS HUB LLC
Practice address
1190 Winterson Rd Ste 200
Linthicum, MD 21090-2245
Phone
(443) 201-6063
NPI assigned
May 21, 2024
Last updated
Apr 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Uzoamaka MbadughaNPI 1912606385
Title
CRNP-PMH
Phone
(443) 201-6063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU

Addresses

Primary practice location

1190 Winterson Rd Ste 200
Linthicum, MD 21090-2245

Mailing address

1190 Winterson Rd Ste 200
Linthicum, MD 21090-2245
Phone (443) 318-3289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250703003852 MD Part B Supplier - Clinic/Group Practice 4688188410 Receives reassigned benefits from 1 practitioner
Practice locations: Owings Mills, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1174362974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 WINTERSON RD STE 200",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902245",
            "telephone_number": "443-318-3289",
            "fax_number": "443-788-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 WINTERSON RD STE 200",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902245",
            "telephone_number": "443-201-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLVE WELLNESS HUB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "MBADUGHA",
        "authorized_official_first_name": "UZOAMAKA",
        "authorized_official_title_or_position": "CRNP-PMH",
        "authorized_official_telephone_number": "443-201-6063"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linthicum, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.