# MOUNTAINVIEW WELLNESS CENTER LLC

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

## Provider details

- **NPI number:** 1316768195
- **Authorized official:** SHARON TITCHNELL PA-C (PA-C)
- **Authorized official phone:** (304) 276-0735

## Contact information

- **Practice address:** 1223 NATIONAL HWY, LAVALE, MD 21502-7602
- **Practice address phone:** (304) 276-0735
- **Practice address fax:** (240) 293-4796
- **Mailing address:** 1223 NATIONAL HWY, LAVALE, MD 21502-7602
- **Mailing address phone:** (304) 276-0735
- **Mailing address fax:** (240) 293-4796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 10/23/2024
- **Last updated:** 06/09/2025
