# WELLNESS SOURCE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Your Wellness Sources, Your Wellness Sources - Behavioral Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205339413
- **Authorized official:** MARSHALEE GEORGE (CEO, MEDICAL DIRECTOR)
- **Authorized official phone:** (301) 235-0060

## Contact information

- **Practice address:** 4301 GARDEN CITY DR STE 304, HYATTSVILLE, MD 20785-6105
- **Practice address phone:** (301) 235-0060
- **Mailing address:** 4301 GARDEN CITY DR STE 304, HYATTSVILLE, MD 20785-6105
- **Mailing address phone:** (301) 235-0060
- **Mailing address fax:** (240) 324-7720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/14/2018
- **Last updated:** 10/15/2026