# CONTINUUM WELLNESS CENTER LLC.

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

## Provider details

- **NPI number:** 1285092734
- **Authorized official:** MRS. LYSTRA EASTLYN WILLIAMS CRNP (NURSE PRACTITIONER)
- **Authorized official phone:** (443) 979-0302

## Contact information

- **Practice address:** 2 W ROLLING XRDS STE 111, CATONSVILLE, MD 21228
- **Practice address phone:** (410) 788-6727
- **Practice address fax:** (410) 788-6729
- **Mailing address:** 2 W ROLLING XRDS STE 111, CATONSVILLE, MD 21228-6204
- **Mailing address phone:** (410) 788-6727
- **Mailing address fax:** (410) 788-6729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | R132674 | MD | Yes |

## Other

- **Enumeration date:** 01/29/2016
- **Last updated:** 08/18/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1871678995 | NPI | — |
| 05 | — | 870014100 | — | MD |