| Selah Wellness & Therapeutic Services, Llc | |
|
1401 Mercantile Ln Ste 485 Largo MD 20774-4301 | |
| (301) 875-5680 | |
| (240) 266-0557 |
| Full Name | Selah Wellness & Therapeutic Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1401 Mercantile Ln Ste 485, Largo, Maryland |
| Authorized Official Name and Position | Sharon Jennings Lawrence (OWNER/THERAPIST) |
| Authorized Official Contact | 3018755680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Selah Wellness & Therapeutic Services, Llc 1401 Mercantile Ln Ste 485 Largo MD 20774-4301 Ph: (301) 875-5680 | Selah Wellness & Therapeutic Services, Llc 1401 Mercantile Ln Ste 485 Largo MD 20774-4301 Ph: (301) 875-5680 |
| NPI Number | 1952900540 |
|---|---|
| Provider Enumeration Date | 10/23/2020 |
| Last Update Date | 10/23/2020 |
| Certification Date | 10/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952900540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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