Organization
SOL & LUNA WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ROBLES LCPC, MA (OWNER)
(301) 943-2433
Entity
Organization
Contact information
Practice address
214 TILDEN WAY, EDGEWATER, MD 21037-2627
(301) 943-2433
Mailing address
214 TILDEN WAY, EDGEWATER, MD 21037-2627
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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