MARYLAND WELLNESS LLC NPI 1851348536

NPI Information

NPI: 1851348536
Provider Name: MARYLAND WELLNESS LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 21D2226559

Address:
4200 FORBES BLVD
STE 104
LANHAM, MD
ZIP 20706
Phone: (301) 429-6100
Get Directions

MARYLAND WELLNESS LLC is a mental health (including community mental health center) clinic center in Lanham, MD. MARYLAND WELLNESS LLC NPI is 1851348536. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4200 FORBES BLVD
STE 104
LANHAM, MD
ZIP 20706-342
Phone: (301) 429-6100
Fax: (301) 429-1333

The provider's authorized official is Casey Wu .
The authorized official title is Director Of Special Projects and has the following contact phone number (410) 241-6317.

The CLIA number assigned to this NPI record is 21D2226559 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 12/7/2022.

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	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	415169102	MEDICAID	MARYLAND
2	415169100	MEDICAID	MARYLAND
3	415169101	MEDICAID	MARYLAND

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

NPI Synchronization or Removal

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