YOUTH REVITALIZED HEALTH AND WELLNESS LLC – NPI #1265375281
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

YOUTH REVITALIZED HEALTH AND WELLNESS LLC is a provider located in GILMER, TX. NPPES recently assigned the NPI number 1265375281 to YOUTH REVITALIZED HEALTH AND WELLNESS LLC on April 13, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for YOUTH REVITALIZED HEALTH AND WELLNESS LLC below.

NPI Profile for
YOUTH REVITALIZED HEALTH AND WELLNESS LLC

NPI Number
1265375281
Enumeration Date

(about 7 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
YOUTH REVITALIZED HEALTH AND WELLNESS LLC
Primary location
602 TITUS ST STE 120
GILMER, TX 75644-1779
Phone: (903) 843-5585 Fax:
Mailing address
PO BOX 1379
HUGHES SPRINGS, TX 75656-1379
Phone: (903) 575-8870 Fax:
Organization Subpart
No
Authorized Official
MARCH GRAY
OWNER
Phone: (903) 575-8870
Updated
Certification Date
Apr 13, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.