Cervello-Wellness, LLC
Community/Behavioral Health in North Bethesda, MD. Organization (NPI-2).
NPI number1619856887
StatusActive
Last updated in NPPESSep 1, 2025
Details
- NPI
- 1619856887
- Entity type
- Organization (NPI-2)
- Legal business name
- Cervello-Wellness, LLC
- Organization subpart
- No
- Enumeration date
- Sep 1, 2025
- Certification date
- Aug 31, 2025
- Last updated
- Sep 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
6010 Executive Blvd Ste 700North Bethesda, MD 20852-3885
Phone 301-392-7120
Mailing address
4014 Diamondhead AveBowie, MD 20721-1308
Phone 301-828-5239
Authorized official
Mimi Tyson
Ceo
3013927120
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