Active NPI
White Lotus Wellness Center, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- College Park, MD
National Provider Identifier
1497256002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- LGP8489
- Legal business name
- WHITE LOTUS WELLNESS CENTER, LLC
- Doing business as
- White Lotus Wellness Center, LLC
- Practice address
- 4912 Berwyn Rd
College Park, MD 20740-2111 - Phone
- (240) 391-6742
- NPI assigned
- Feb 28, 2018
- Last updated
- Mar 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Anne Ateeka B Contee, MBA
- Title
- Founder
- Phone
- (240) 391-6742
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | LGP8489 | MD | Primary |
Addresses
Primary practice location
4912 Berwyn Rd
College Park, MD 20740-2111
Mailing address
4912 Berwyn Rd
College Park, MD 20740-2111
Phone (240) 391-6742
Other practice location 1
8607 Rhode Island Ave
College Park, MD 20740-4109
Phone (240) 391-6742
Other names 1
- White Lotus Wellness Center, LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1497256002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4912 BERWYN RD",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "207402111",
"telephone_number": "240-391-6742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4912 BERWYN RD",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "207402111",
"telephone_number": "240-391-6742"
}
],
"practiceLocations": [
{
"address_1": "8607 Rhode Island Ave",
"address_purpose": "LOCATION",
"city": "College Park",
"state": "MD",
"postal_code": "207404109",
"country_code": "US",
"telephone_number": "240-391-6742",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WHITE LOTUS WELLNESS CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-28",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "CONTEE",
"authorized_official_first_name": "ANNE ATEEKA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "240-391-6742",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "MD",
"license": "LGP8489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "White Lotus Wellness Center, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in College Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.