Cervello-Wellness, Llc

LBN: Cervello-Wellness, Llc
Cervello-Wellness, Llc is an health care organization with primary practice located at 11810 Grand Park Ave Ste 500 , North Bethesda MD 20852-8679. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Cervello-Wellness, Llc can be contacted via phone (301) 392-7120, or through Tyson, Mimi via phone (301) 392-7120.

Contact Information

Primary practice address
11810 Grand Park Ave Ste 500 North Bethesda MD 20852-8679
Phone: (301) 392-7120
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tyson, Mimi
Phone: (301) 392-7120

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1083239255
LBN Legal business name Cervello-Wellness, Llc
DBA Doing business as
Authorized official Tyson, Mimi
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2020
Last updated Apr 20th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083239255 NPPES
Maryland MEDICAID 521090900

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