Maryland Wellness Llc
LBN: Maryland Wellness Llc
Maryland Wellness Llc is an health care organization with primary practice located at 4200 Forbes Blvd Ste 104, Lanham MD 20706-4342. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Maryland Wellness Llc can be contacted via phone (301) 429-6100, or through Wu, Casey via phone (410) 241-6317.
Contact Information
Primary practice address
4200 Forbes Blvd Ste 104
Lanham MD 20706-4342
Phone: (301) 429-6100
Fax: (301) 429-1333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1851348536 |
|---|---|
| LBN Legal business name | Maryland Wellness Llc |
| DBA Doing business as | |
| Authorized official | Wu, Casey |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 28th, 2006 |
| Last updated | Dec 7th, 2022 - about 2 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851348536 | NPPES |
| Maryland | MEDICAID | 415169102 | |
| Maryland | MEDICAID | 415169100 | |
| Maryland | MEDICAID | 415169101 |
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