Organization
EMPAS WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES SMALLEY (OWNER)
(301) 388-6086
Entity
Organization
Contact information
Practice address
7213 CHAPPARAL DR, DISTRICT HEIGHTS, MD 20747-1772
(301) 388-6086
Mailing address
4244 SUITLAND RD APT 103, SUITLAND, MD 20746-2054
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
102X00000X
Poetry Therapist
—
—
103TC1900X
Counseling Psychologist
—
—
225600000X
Dance Therapist
—
—
225A00000X
Music Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/15/2020
Last updated
11/15/2020
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