Complete Wellness Behavioral Health LLC
Nurse Practitioner, Psych/Mental Health in Windsor Mill, MD. Organization (NPI-2).
Details
- NPI
- 1104590785
- Entity type
- Organization (NPI-2)
- Legal business name
- Complete Wellness Behavioral Health LLC
- Organization subpart
- No
- Enumeration date
- Aug 5, 2021
- Certification date
- Aug 5, 2021
- Last updated
- Aug 5, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
7112 Sandown Cir Apt 303Windsor Mill, MD 21244-7928
Phone 240-643-5232
Mailing address
7112 Sandown Cir Apt 303Windsor Mill, MD 21244-7928
Phone 240-643-5232
Authorized official
Eselle Mathias Molua
Ceo
2406435232
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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