Organization
WAVES OF WELLNESS STUDIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA ROGERS (OWNER)
(667) 500-4556
Entity
Organization
Contact information
Practice address
819 RITCHIE HWY, SEVERNA PARK, MD 21146-4197
(667) 500-4556
Mailing address
819 RITCHIE HWY, SEVERNA PARK, MD 21146-4197
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/14/2021
Last updated
03/01/2023
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