Maryland Wellness Center LLC
Counselor, Mental Health in Rockville, MD. Organization (NPI-2).
NPI number1619707098
StatusActive
Last updated in NPPESAug 1, 2024
Details
- NPI
- 1619707098
- Entity type
- Organization (NPI-2)
- Legal business name
- Maryland Wellness Center LLC
- Organization subpart
- No
- Enumeration date
- Aug 1, 2024
- Certification date
- Aug 1, 2024
- Last updated
- Aug 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 261QH0100X | Clinic/Center, Health Services | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
11140 Rockville Pike Ste 421Rockville, MD 20852-3104
Phone 301-678-3281
Mailing address
11870 Grand Park Ave Apt 924Rockville, MD 20852-8702
Phone 301-788-8326
Authorized official
Samuel Rosenblatt
Founder, Therapist
3017888326
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