| Holistic Wellness & Support Llc. | |
|
8101 Sandy Spring Rd Ste 300 Laurel MD 20707-3596 | |
| (301) 909-3887 | |
| Not Available |
| Full Name | Holistic Wellness & Support Llc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8101 Sandy Spring Rd Ste 300, Laurel, Maryland |
| Authorized Official Name and Position | Carlton Gilbert Fonville (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3019093887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Wellness & Support Llc. 8101 Sandy Spring Rd Ste 300 Laurel MD 20707-3596 Ph: (301) 909-3887 | Holistic Wellness & Support Llc. 8101 Sandy Spring Rd Ste 300 Laurel MD 20707-3596 Ph: (301) 909-3887 |
| NPI Number | 1427626837 |
|---|---|
| Provider Enumeration Date | 06/12/2021 |
| Last Update Date | 03/07/2022 |
| Certification Date | 08/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427626837 | NPI | - | NPPES |
| NONE | Other | MD | NONE |
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