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Organization
THE HOLISTIC WELLNESS LOUNGE
Active
Organization
THE HOLISTIC WELLNESS LOUNGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA HALL (CFO)
(855) 531-1114
Entity
Organization
Contact information
Practice address
12530 FAIRWOOD PKWY STE 102, BOWIE, MD 20720-6357
(855) 531-1114
(855) 512-3111
Mailing address
84 SOUTHGATE SQ # 1177, COLONIAL HEIGHTS, VA 23834-3611
(855) 531-1114
(855) 512-3111
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TF0000X
Family Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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