Revlon Wilson

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

72882 Issued in TX

Legal business name

REVLON WILSON

Doing business as

No Other Way

Practice address

13021 Legendary Dr
Apt 1334
Austin, TX 78727-3934

Phone

(773) 203-2329

NPI assigned

Jan 14, 2015

Organization subpart

No

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

Authorized official

Name

Revlon Dione Wilson, M.A LPCNPI 1275922775

Title

Licensed Professional Counselor

Phone

(773) 203-2329

Specialties & licenses 2

Addresses

Other names 1

• No Other Way Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Revlon Wilson, MA, LPC

  • Professional Counselor
  • Harker Heights, TX
  • NPI 1275922775
  NPD (past) Authorized official

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1366831349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13021 LEGENDARY DR",
            "address_2": "APT 1334",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787273934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13021 LEGENDARY DR",
            "address_2": "APT 1334",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787273934",
            "telephone_number": "773-203-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVLON WILSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "REVLON",
        "authorized_official_middle_name": "DIONE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "773-203-2329",
        "authorized_official_credential": "M.A LPC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "72882",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "72882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "No Other Way",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Reviea, LVN
• Scott Gerard Reviere Jr., DC
• Vanessa Revilla
• Revive Psychological Services
• Revive Psychotherapy PLLC
• Revolution Human Physical Therapy and Education LLC (Revolution Human Physical Therapy)
• Revolve Behavioral Health PLLC
• Carina Yvette Rew, RN, BSN, MSN, AG-CNS
• Smita Rewari, DDS
• Sonia Reyes Ethridge, LPC

• Community/Behavioral Health Agency in Austin, TX
• Providers in Austin, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.