| Healwellmind Llc | |
|
6209 Executive Blvd Rockville MD 20852-3906 | |
| (301) 883-1938 | |
| Not Available |
| Full Name | Healwellmind Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6209 Executive Blvd, Rockville, Maryland |
| Authorized Official Name and Position | Reji Abhilash (OWNER) |
| Authorized Official Contact | 3018831938 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healwellmind Llc 266 New Mark Esplanade Rockville MD 20850-2733 Ph: () - | Healwellmind Llc 6209 Executive Blvd Rockville MD 20852-3906 Ph: (301) 883-1938 |
| NPI Number | 1093445330 |
|---|---|
| Provider Enumeration Date | 06/10/2022 |
| Last Update Date | 06/10/2022 |
| Certification Date | 06/10/2022 |
| Medicare PECOS PAC ID | 5193178150 |
|---|---|
| Medicare Enrollment ID | O20240126001022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093445330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Reji Abhilash |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346743739 PECOS PAC ID: 4981966009 Enrollment ID: I20180329000185 |
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