| White Lotus Wellness Center, Llc | |
|
4912 Berwyn Rd College Park MD 20740-2111 | |
| (240) 391-6742 | |
| Not Available |
| Full Name | White Lotus Wellness Center, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4912 Berwyn Rd, College Park, Maryland |
| Authorized Official Name and Position | Anne Ateeka B Contee (FOUNDER) |
| Authorized Official Contact | 2403916742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Lotus Wellness Center, Llc 4912 Berwyn Rd College Park MD 20740-2111 Ph: (240) 391-6742 | White Lotus Wellness Center, Llc 4912 Berwyn Rd College Park MD 20740-2111 Ph: (240) 391-6742 |
| NPI Number | 1497256002 |
|---|---|
| Provider Enumeration Date | 02/28/2018 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497256002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LGP8489 (Maryland) | Primary |
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