| Grow & Thrive Wellness Space | |
|
134 Tall Grass Ln La Plata MD 20646-3239 | |
| (301) 609-0822 | |
| Not Available |
| Full Name | Grow & Thrive Wellness Space |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 134 Tall Grass Ln, La Plata, Maryland |
| Authorized Official Name and Position | Chelante Gallemore (OWNER) |
| Authorized Official Contact | 3016090822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grow & Thrive Wellness Space 134 Tall Grass Ln La Plata MD 20646-3239 | Grow & Thrive Wellness Space 134 Tall Grass Ln La Plata MD 20646-3239 Ph: (301) 609-0822 |
| NPI Number | 1447124086 |
|---|---|
| Provider Enumeration Date | 10/04/2025 |
| Last Update Date | 10/04/2025 |
| Certification Date | 10/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447124086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
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