# NEURO EDUCATION WELLNESS CENTRE LLC

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

## Provider details

- **NPI number:** 1750188678
- **Authorized official:** MS. LAURYN RIVERS (HEALTH EDUCATION SPECIALIST)
- **Authorized official phone:** (888) 720-7567

## Contact information

- **Practice address:** 11710 PLAZA AMERICA DR STE 2000, RESTON, VA 20190-4743
- **Practice address phone:** (888) 720-7567
- **Mailing address:** 11720 PLAZA AMERICA DR STE 2000, RESTON, VA 20190-4757
- **Mailing address phone:** (888) 720-7567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 225XM0800X | Mental Health Occupational Therapist | — | — | Yes |
| 405300000X | Prevention Professional | — | NULL | — |
| 405300000X | Prevention Professional | — | — | — |

## Other

- **Enumeration date:** 02/27/2025
- **Last updated:** 02/27/2026