| My Mental Wellness, Llc | |
|
2015 Astilbe Way Odenton MD 21113-2931 | |
| (301) 642-5133 | |
| (443) 230-3536 |
| Full Name | My Mental Wellness, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2015 Astilbe Way, Odenton, Maryland |
| Authorized Official Name and Position | Dr. Norma Faye Powell (OWNER) |
| Authorized Official Contact | 3016425133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Mental Wellness, Llc 2015 Astilbe Way Odenton MD 21113-2931 Ph: (301) 642-5133 | My Mental Wellness, Llc 2015 Astilbe Way Odenton MD 21113-2931 Ph: (301) 642-5133 |
| NPI Number | 1245528470 |
|---|---|
| Provider Enumeration Date | 07/21/2011 |
| Last Update Date | 12/18/2020 |
| Certification Date | 12/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245528470 | NPI | - | NPPES |
| 418005401 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LC2311 (Maryland) | Primary |
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