# SELF INDULGENT LUXE: HEALTH & WELLNESS

> 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
- **Parent organization:** SELF INDULGENT LUXURY MEDISPA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356270300
- **Legal business name:** SELF INDULGENT LUXURY MEDISPA
- **Authorized official:** JANAEL PALMER NP (DIRECTOR)
- **Authorized official phone:** (240) 906-9462

## Contact information

- **Practice address:** 4410 74TH AVE, HYATTSVILLE, MD 20784-2222
- **Practice address phone:** (240) 988-8502
- **Mailing address:** 11002 ATWELL AVE, BOWIE, MD 20720-3573
- **Mailing address phone:** (240) 906-9462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103TH0100X | Health Service Psychologist | — | NULL | — |
| 103TH0100X | Health Service Psychologist | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2026
- **Last updated:** 05/15/2026