Organization
KREATIVE WELLNESS COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA WALLINGTON (MENTAL HEALTH COUNSELOR / OWNER)
(215) 715-3779
Entity
Organization
Contact information
Practice address
8500 16TH ST APT 309, SILVER SPRING, MD 20910-2927
(215) 715-3779
Mailing address
12401 BRICKYARD BLVD APT 2061, BELTSVILLE, MD 20705-1625
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/15/2024
Last updated
06/04/2024
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