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Organization

THE HOLISTIC WELLNESS LOUNGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARLA HALL (CFO)
(855) 531-1114
Entity
Organization

Contact information

Practice address
12530 FAIRWOOD PKWY STE 102, BOWIE, MD 20720-6357
(855) 531-1114
(855) 512-3111
Mailing address
84 SOUTHGATE SQ # 1177, COLONIAL HEIGHTS, VA 23834-3611
(855) 531-1114
(855) 512-3111

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP1600X
Pastoral Counselor
101YP2500X
Professional Counselor
103T00000X
Psychologist
103TF0000X
Family Psychologist
104100000X
Social Worker
106H00000X
Marriage & Family Therapist

Other

Enumeration date
11/28/2022
Last updated
11/28/2022
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