Organization
EAGLES NEST WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNANDO LEE ANDREWS JR. (COO)
(804) 433-6905
Entity
Organization
Contact information
Practice address
3010 CRAIN HWY STE 302, WALDORF, MD 20601-2838
(804) 433-6905
Mailing address
3010 CRAIN HWY STE 302, WALDORF, MD 20601-2838
(804) 433-6905
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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