Organization
AKILI WELLNESS SERVICES, LLC
Active
Organization
AKILI WELLNESS SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROEATHEA BUTLER LCSW-C, LICSW (OWNER)
(301) 910-5037
Entity
Organization
Contact information
Practice address
1300 MERCANTILE LN STE 129-62, LARGO, MD 20774-5327
(301) 388-8982
Mailing address
1300 MERCANTILE LN STE 129-62, LARGO, MD 20774-5327
(301) 388-8982
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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