<Unavail>
LBN: Wellness Source Llc
<Unavail> is an health care organization with primary practice located at 4301 Garden City Dr Ste 304 , Hyattsville MD 20785-6105. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Family 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: (240) 324-7720
Website:
Health care specialties
Profile Details
| NPI number | 1780031724 |
|---|---|
| LBN Legal business name | Wellness Source Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | George, Marshalee |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 19th, 2016 |
| Last updated | May 27th, 2026 - about 6 months 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 | 1780031724 | NPPES |
| District of Columbia | MEDICAID | 051747821 | |
| District of Columbia | MEDICAID | 600082700 | |
| District of Columbia | Other | 540582 |
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