Provider Demographics
NPI:1245848027
Name:REVOLUTIONARY PERSPECTIVES, LLC
Entity type:Organization
Organization Name:REVOLUTIONARY PERSPECTIVES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:DAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, MED
Authorized Official - Phone:484-202-0491
Mailing Address - Street 1:3-1 BLOOMFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-5555
Mailing Address - Country:US
Mailing Address - Phone:484-202-0491
Mailing Address - Fax:
Practice Address - Street 1:3-1 BLOOMFIELD AVE
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-5555
Practice Address - Country:US
Practice Address - Phone:484-202-0491
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-17
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty