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Avenel Holistic Health Services LLC

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Largo, MD

NPI 1043968449 · NPPES record last updated Mar 15, 2022

Key facts

NPI
1043968449
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
AVENEL HOLISTIC HEALTH SERVICES LLC
Practice address
1300 Mercantile LN Ste 142
Largo, MD 20774-5331
Phone
(240) 451-8300
Fax
(240) 451-8305
NPI assigned
Mar 15, 2022
Organization subpart
No

Authorized official

Name
Mrs. Nwamaka Stephanie Obiesie
Title
Ceo
Phone
(240) 451-8300

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Avenel Holistic Health Services LLC (3 organizations share this tax ID)

Locations

1300 Mercantile Ln
Ste 142
Largo, MD 20774
Phone (240) 451-8300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1300 Mercantile LN Ste 142
Largo, MD 20774-5331

Mailing address

1300 Mercantile LN Ste 142
Largo, MD 20774-5331
Phone (240) 451-8300

Other providers in Largo, MD

All providers in Largo, MD · Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

Sources for this page

Verify at the official NPI Registry.