| Wilson Wellness Center, Llc | |
|
6030 Marshalee Dr Ste M114 Elkridge MD 21075-5987 | |
| (443) 591-0202 | |
| Not Available |
| Full Name | Wilson Wellness Center, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6030 Marshalee Dr Ste M114, Elkridge, Maryland |
| Authorized Official Name and Position | Devetta Wilson (OWNER, MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 2022402994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Wellness Center, Llc 6030 Marshalee Dr Ste M114 Elkridge MD 21075-5987 Ph: (443) 591-0202 | Wilson Wellness Center, Llc 6030 Marshalee Dr Ste M114 Elkridge MD 21075-5987 Ph: (443) 591-0202 |
| NPI Number | 1235999244 |
|---|---|
| Provider Enumeration Date | 03/19/2024 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235999244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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