Organization · NPI-2
Emerge Wellness Center LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Beltsville, MD
NPI number1093692220
StatusActive
Last updated in NPPESApr 16, 2026
Details
- NPI
- 1093692220
- Entity type
- Organization (NPI-2)
- Legal business name
- Emerge Wellness Center LLC
- Organization subpart
- No
- Enumeration date
- Aug 19, 2025
- Certification date
- Apr 16, 2026
- Last updated
- Apr 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
5020 Sunnyside Ave Ste 206Beltsville, MD 20705-2307
Phone 301-828-2792 · Fax 301-828-2794
Mailing address
14109 Oakpointe DrLaurel, MD 20707-5863
Phone 240-481-6449
Other practice locations
14109 Oakpointe Dr
Laurel, MD 20707-5863
Laurel, MD 20707-5863
Phone 301-828-2792 · Fax 301-828-2794
Authorized official
Ram Koura Oula
Administrator
2404816449
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