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AVENEL HOLISTIC HEALTH SERVICES LLC NPI 1043968449


NPI Information

NPI: 1043968449
Provider Name: AVENEL HOLISTIC HEALTH SERVICES LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1300 MERCANTILE LN STE 142
LARGO, MD
ZIP 20774
Phone: (240) 451-8300
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AVENEL HOLISTIC HEALTH SERVICES LLC is a mental health (including community mental health center) clinic center in Largo, MD. AVENEL HOLISTIC HEALTH SERVICES LLC NPI is 1043968449. The provider is registered as an organization entity type.

The provider's business location address is:

1300 MERCANTILE LN STE 142
LARGO, MD
ZIP 20774-331
Phone: (240) 451-8300
Fax: (240) 451-8305

The provider's authorized official is Nwamaka Stephanie Obiesie .
The authorized official title is Ceo and has the following contact phone number (240) 451-8300.

The enumeration date for this NPI number is 3/15/2022 and was last updated on 3/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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