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Avenel Holistic Health Services LLC

Organization Active NPI Community/Behavioral Health Agency · Largo, MD

NPI 1184336604 · NPPES record last updated Dec 15, 2022

Key facts

NPI
1184336604
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
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
Dec 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)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

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 names

  • None Other name

Other providers in Largo, MD

All providers in Largo, MD · Community/Behavioral Health Agency in Maryland

Sources for this page

Verify at the official NPI Registry.