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Contact Information

SELF INDULGENT LUXE: HEALTH & WELLNESS
4410 74TH AVE
HYATTSVILLE, MD20784-2222
 Phone: 240-988-8502
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Health Service

103TH0100X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for SELF INDULGENT LUXE HEALTH WELLNESS · (Female)

NPI Number 1356270300
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2026
Last updated 05/15/2026 - About 3 weeks ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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