Your Wellness Sources

LBN: Wellness Source Llc
Your Wellness Sources is an health care organization with primary practice located at 4301 Garden City Dr Ste 304 , Hyattsville MD 20785-6105. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Wellness Source Llc can be contacted via phone (301) 235-0060, or through George, Marshalee via phone (301) 235-0060.

Contact Information

Primary practice address
4301 Garden City Dr Ste 304 Hyattsville MD 20785-6105
Phone: (301) 235-0060
Fax:
Website:
Map and Directions
Authorized official contact:
Name: George, Marshalee
Phone: (301) 235-0060

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1205339413
LBN Legal business name Wellness Source Llc
DBA Doing business as Your Wellness Sources
Authorized official George, Marshalee
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2018
Last updated Nov 13th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205339413 NPPES
Maryland MEDICAID 600082701
Maryland MEDICAID 192174600
Maryland MEDICAID 601006700
Maryland MEDICAID 600082700

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