Organization
CERVELLO-WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIMI TYSON NP (OWNER)
(301) 828-5239
Entity
Organization
Contact information
Practice address
6010 EXECUTIVE BLVD STE 700, ROCKVILLE, MD 20852-3885
(301) 392-7120
Mailing address
4014 DIAMONDHEAD AVE, BOWIE, MD 20721-1308
(301) 828-5239
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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