Organization
KINGSBURY WELLNESS AND LEARNING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOTT LANGLOIS CONKLIN PSY.D. (EXECUTIVE DIRECTOR)
(202) 545-2410
Entity
Organization
Contact information
Practice address
8720 GEORGIA AVE STE 700, SILVER SPRING, MD 20910-3602
(202) 545-2410
Mailing address
8720 GEORGIA AVE STE 700, SILVER SPRING, MD 20910-3602
(202) 545-2410
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/07/2019
Last updated
07/20/2022
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