Organization
ETW THERAPEUTIC & HOLISTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRIYANKA MALHOTRA (CREDENTIALING DIRECTOR)
(301) 377-1836
Entity
Organization
Contact information
Practice address
7305 BALTIMORE AVE # A101, COLLEGE PARK, MD 20740-3234
(202) 743-5660
Mailing address
7206 SHOCKLEY CT, FT WASHINGTON, MD 20744-1711
(202) 743-5660
(410) 824-1482
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
555991000
—
MD
Enumeration date
09/15/2022
Last updated
11/07/2024
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