# ETW THERAPEUTIC & HOLISTIC SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053033126
- **Authorized official:** PRIYANKA MALHOTRA (CREDENTIALING DIRECTOR)
- **Authorized official phone:** (301) 377-1836

## Contact information

- **Practice address:** 7305 BALTIMORE AVE \# A101, COLLEGE PARK, MD 20740-3234
- **Practice address phone:** (202) 743-5660
- **Mailing address:** 7206 SHOCKLEY CT, FT WASHINGTON, MD 20744-1711
- **Mailing address phone:** (202) 743-5660
- **Mailing address fax:** (410) 824-1482

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/15/2022
- **Last updated:** 11/07/2024