Organization
ELOCIN RECOVERY AND THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE LASHAWN ROSSER PMHNP-BC (OWNER)
(240) 581-2521
Entity
Organization
Contact information
Practice address
14502 GREENVIEW DR, LAUREL, MD 20708-3287
(240) 581-2521
Mailing address
1114 11TH ST, LAUREL, MD 20707-3602
(240) 581-2521
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
11/13/2024
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