Organization
MY MENTAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMA FAYE POWELL PHD (OWNER)
(301) 642-5133
Entity
Organization
Contact information
Practice address
2015 ASTILBE WAY, ODENTON, MD 21113-2931
(301) 642-5133
(443) 230-3536
Mailing address
2015 ASTILBE WAY, ODENTON, MD 21113-2931
(301) 642-5133
(443) 230-3536
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC2311
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418005401
—
MD
Enumeration date
07/21/2011
Last updated
12/18/2020
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