| The Health And Wellness Source, Llc | |
|
4230 Forbes Blvd Ste A Lanham MD 20706-4398 | |
| (240) 350-9777 | |
| Not Available |
| Full Name | The Health And Wellness Source, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4230 Forbes Blvd Ste A, Lanham, Maryland |
| Authorized Official Name and Position | Sharon Gacho Richardson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2403509777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Health And Wellness Source, Llc 4230 Forbes Blvd Ste A Lanham MD 20706-4398 Ph: (240) 350-9777 | The Health And Wellness Source, Llc 4230 Forbes Blvd Ste A Lanham MD 20706-4398 Ph: (240) 350-9777 |
| NPI Number | 1215235528 |
|---|---|
| Provider Enumeration Date | 03/10/2011 |
| Last Update Date | 03/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215235528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 11195 (Maryland) | Primary |
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