# MARYLAND WELLNESS CENTER LLC

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

## Provider details

- **NPI number:** 1619707098
- **Authorized official:** SAMUEL ROSENBLATT LCPC (FOUNDER, THERAPIST)
- **Authorized official phone:** (301) 788-8326

## Contact information

- **Practice address:** 11140 ROCKVILLE PIKE STE 421, ROCKVILLE, MD 20852-3104
- **Practice address phone:** (301) 678-3281
- **Mailing address:** 11870 GRAND PARK AVE APT 924, ROCKVILLE, MD 20852-8702
- **Mailing address phone:** (301) 788-8326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/01/2024
- **Last updated:** 08/01/2024