Avenel Holistic Health Services LLC

NPI #1043968449 in Largo, Maryland

Provider Information

NPI Number: 1043968449
Entity Type: Organization
Organization Name: Avenel Holistic Health Services LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 15, 2022
Last Updated: Mar 15, 2022

Practice Location

Address: 1300 MERCANTILE LN STE 142
City: Largo
State: Maryland
ZIP Code: 20774-5331
Phone: (240) 451-8300

Authorized Official

Name: MRS. NWAMAKA STEPHANIE OBIESIE
Title: CEO
Phone: (240) 451-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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