Eelon Wellness and Massage

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

R02162 Issued in MD

Legal business name

EELON WELLNESS AND MASSAGE

Practice address

6414 Bear CT
#207
Waldorf, MD 20603-4301

Phone

(352) 314-0129

NPI assigned

Aug 25, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michelle Stevens, RMP

Title

President

Phone

(240) 241-2490

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1457728487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 BRANCH AVE",
            "address_2": "#207",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481242",
            "telephone_number": "352-314-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6414 BEAR CT",
            "address_2": "#207",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034301",
            "telephone_number": "352-314-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EELON WELLNESS AND MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-241-2490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RMP"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MD",
            "license": "R02162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edcha Behavioral Health, LLC
• Felicia Michelle Edmond, LGPC
• Edward C. Clark,M.D.,P.a.
• Edward M. Eisenbrey,M.D.,P.a.
• Kathryn Hardin Edwards, PA-C
• James Egan, M.D.
• Bryan C. Ego-Osuala, MD
• Jean Mountain Eisenbrey, M.D.
• Winifred Sike Ekema
• Netongo Williams Ekoah

• Point of Service in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Point of Service in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.