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Contact Information

WELLNESS SOURCE LLC
4301 GARDEN CITY DR STE 304
HYATTSVILLE, MD20785-6105
 Phone: 301-235-0060
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Addiction Medicine

207RA0401X 11 Physician/Internal Medicine
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Nutrition, Metabolic

133VN1006X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Obesity and Weight Management

133VN1201X 71 Registered Dietitian or Nutrition Professional
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatric/Mental Health

163WP0808X
 

Psychiatric/Mental Health, Child & Adolescent

163WP0807X
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for WELLNESS SOURCE LLC

NPI # 1114420320
LBN Legal business name WELLNESS SOURCE LLC
Authorized official MARSHALEE GEORGE - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/14/2018
Last updated 05/04/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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