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Organization
NEURO EDUCATION WELLNESS CENTRE LLC
Active
Organization
NEURO EDUCATION WELLNESS CENTRE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURYN RIVERS (HEALTH EDUCATION SPECIALIST)
(888) 720-7567
Entity
Organization
Contact information
Practice address
11710 PLAZA AMERICA DR STE 2000, RESTON, VA 20190-4743
(888) 720-7567
Mailing address
11720 PLAZA AMERICA DR STE 2000, RESTON, VA 20190-4757
(888) 720-7567
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
405300000X
Prevention Professional
—
NULL
405300000X
Prevention Professional
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2026
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