Cervello-Wellness, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Rockville, MD. Organization (NPI-2).
NPI number1942004262
StatusActive
Last updated in NPPESApr 3, 2025
Details
- NPI
- 1942004262
- Entity type
- Organization (NPI-2)
- Legal business name
- Cervello-Wellness, LLC
- Organization subpart
- No
- Enumeration date
- Apr 3, 2025
- Certification date
- Apr 3, 2025
- Last updated
- Apr 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
6010 Executive Blvd Ste 700Rockville, MD 20852-3885
Phone 301-392-7120
Mailing address
4014 Diamondhead AveBowie, MD 20721-1308
Phone 301-828-5239
Authorized official
Mimi Tyson
Owner
3018285239
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