THERAPEUTIC WELLNESS, LLC


Address: 4700 Berwyn House Rd, Suite 202, College Park, MD 20740-2474
Phone: 3012570894

THERAPEUTIC WELLNESS, LLC (NPI# 1225218894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225218894
Entity Type Organization
Organization Name THERAPEUTIC WELLNESS, LLC
Practice Address 4700 Berwyn House Rd
Suite 202
College Park
MD 20740-2474
Mailing Address 4700 Berwyn House Rd
College Park
MD 20740-2474
Practice Telephone 3012570894
Mailing Telephone 3012570894
Enumeration Date 2007-11-12
Last Update Date 2007-11-12
Authorized Official Name MRS. NATEEKA D SCOTT (OWNER)
Authorized Official Telephone 3012570894
Authorized Official Credential LCPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health LC2129 MD Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1902392103 Therapeutic Wellness, LLC Marriage & Family Therapist 266 Post Rd E, Westport, CT 06880-3625 2018-07-11

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations Therapeutic Wellness, LLC 266 Post Rd E., Westport, CT 06880
Iowa Business Entities THERAPEUTIC WELLNESS, LLC 3623 Wright Street, Des Moines, IA 50316

Office Location

Street Address 4700 BERWYN HOUSE RD
SUITE 202
City COLLEGE PARK
State MD
Zip Code 20740-2474

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NPI Name Taxonomy Address Enumeration
1134128051 Charles Edward Buckley Radiology 4700 Berwyn House Rd, Suite 102, College Park, MD 20740-2474 2005-07-21
1437595410 Mid-atlantic Psychological Services Psychologist 4700 Berwyn House Rd, College Park, MD 20740-2474 2013-05-16
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1083959175 Capital Area Primary Care LLC Internal Medicine 4700 Berwyn House Rd, Suite 108, College Park, MD 20740-4706 2012-11-30
1245509439 Greater Washington Skin Center, LLC Dermatology 4700 Berwyn House Rd, Suite 108, College Park, MD 20740-2474 2011-12-19
1851690705 Sagar V.nootheti,m.d.p.a Orthopaedic Surgery 4700 Berwyn House Rd, Suite 108, College Park, MD 20740-2474 2011-03-17
1912130287 Pavan Kumar Nootheti Dermatology 4700 Berwyn House Rd, Suite 108, College Park, MD 20740-2474 2009-09-02
1962669804 Phc Healthcare LLC Internal Medicine 4700 Berwyn House Rd, Suite 105, College Park, MD 20740-2474 2008-05-19
1023228947 Anuja Gupta Kurichh Internal Medicine 4700 Berwyn House Rd, Suite 105, College Park, MD 20740-2474 2007-05-22
1760602874 Jonita Conner Internal Medicine 4700 Berwyn House Rd, College Park, MD 20740 2007-04-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073147633 S.a.f.e. Counseling Services LLC Counselor 6210 Greenbelt Road, L 4, Berwyn Heights, MD 20740 2020-02-23
1326528621 Ryan Rehabilitation LLC Counselor 7100 Baltimore Ave Ste 105, College Park, MD 20740 2018-08-16
1760981120 L. Jones-dove & Associates Tooth Spa LLC Dentist 6103 Greenbelt Road, College Park, MD 20740 2018-02-12
1538682257 Heather Gambacorto Behavior Technician 3525 Marlbrough Way, College Park, MD 20740 2017-07-25
1841722691 Bradley Weitzel Specialist/Technologist 4068 Field House Drive, College Park, MD 20740 2017-03-31
1083152284 Kabrima Y Petty Nurse Practitioner 10201 Baltimore Ave Apt 5102, College Park, MD 20740 2017-02-08
1659728517 Brownstone Project In Md Community/Behavioral Health 6201 Greenbelt Rd Ste M6, Berwyn Heights, MD 20740 2016-05-20
1114371093 Thomas Lowell Bennett Specialist/Technologist 7675 Baltimore Ave, R 0100, College Park, MD 20740 2016-04-18
1306226808 Linda Ronma Williams Nurse Practitioner 4701 Melbourne Place, College Park, MD 20740 2015-06-01
1124427927 Sarah Elizabeth Woerner Pharmacist 7300 Baltimore Boulevard, College Park, MD 20740 2014-08-18
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669099354 Breaking Barriers Mental Health Services, LLC Community/Behavioral Health 9600 Milestone Way Apt 2016, College Park, MD 20740-4262 2020-06-29
1558883009 A&e Healthcare Services Inc Community/Behavioral Health 4920 Niagara Rd Ste 408, College Park, MD 20740-1160 2017-07-15
1245634419 Joyus Beginnings Cfwc Community/Behavioral Health 1626 Virginia Ave, Suite F, College Park, GA 30337-2857 2014-10-17
1275972515 Helping Hands Integrated Behavioral Health Services, LLC Community/Behavioral Health 525 Mica Trce, College Park, GA 30349-8479 2013-06-20
1508139395 Carefree Building Maintenance Community/Behavioral Health 4055 Will Lee Rd, College Park, GA 30349-1904 2012-02-09
1912207317 Passport 2 Prosperity Incorporated Community/Behavioral Health 265 Redding Rdg, College Park, GA 30349-8027 2010-11-01
1669772323 Divine Behavioral Services Inc. Community/Behavioral Health 6270 Red Oak Rd, College Park, GA 30349-4023 2010-10-28
1215244579 True Love, LLC Community/Behavioral Health 225 Armas Pl, College Park, GA 30349-4823 2010-09-08
1750697694 D.r.e.a.m Therapuetic Solutions, LLC Community/Behavioral Health 2555 Flat Shoals Rd Apt 2204, College Park, GA 30349-4374 2010-08-30
1275863219 Panacea Counseling Services LLC Community/Behavioral Health 5436 Glen Haven Dr, College Park, GA 30349-6481 2010-01-13
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Competitor

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City COLLEGE PARK
Zip Code 20740

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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