Organization
ACT WELLNESS INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANEASHA CLARK (SOCIAL WORKER)
(667) 379-9328
Entity
Organization
Contact information
Practice address
10440 LITTLE PATUXENT PKWY STE 300, COLUMBIA, MD 21044-3648
(667) 379-9328
Mailing address
10440 LITTLE PATUXENT PKWY STE 300, COLUMBIA, MD 21044-3648
(667) 379-9328
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/21/2025
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