Organization
NEURO EDUCATION WELLNESS CENTRE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURYN RIVERS (HEALTH EDUCATION SPECIALIST)
(888) 720-7567
Entity
Organization
Contact information
Practice address
11710 PLAZA AMERICA DR STE 2000, RESTON, VA 20190-4743
(888) 720-7567
Mailing address
11720 PLAZA AMERICA DR STE 2000, RESTON, VA 20190-4757
(888) 720-7567
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
208D00000X
General Practice Physician
Primary
—
—
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2026
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