FAMILY HEALTH AND WELLNESS CLINIC LLC


Address: 324 Main St. #523, Laurel, MD 20707
Phone: 8163014135

FAMILY HEALTH AND WELLNESS CLINIC LLC (NPI# 1538701859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538701859
Entity Type Organization
Organization Name FAMILY HEALTH AND WELLNESS CLINIC LLC
Other Organization Name KONTERRA CLINIC
Practice Address 324 Main St. #523
Laurel
MD 20707
Mailing Address 324 Main St Unit 523
Laurel
MD 20725-7522
Practice Telephone 8163014135
Enumeration Date 2019-10-09
Last Update Date 2020-09-18
Authorized Official Name DR. AMANDA FELIX (OWNER)
Authorized Official Telephone 2026565144
Authorized Official Credential DNP, PMHNP-BC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261Q00000X Clinic/Center Ambulatory Health Care Facilities
N 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities
N 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
Konterra Clinic Doing Business As Name - Organization

Office Location

Street Address 324 MAIN ST. #523
City LAUREL
State MD
Zip Code 20707

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376157156 Mini'imah Wilson Social Worker 15041 Cherrywood Dr, Laurel, MD 20707 2020-08-31
1548893985 Ernest Freeman Clinic/Center 367 Main St., Laurel, Laurel, MD 20707 2020-02-13
1467018226 Leena Daniel Nurse Practitioner 13 C Street, Suite D, Laurel, MD 20707 2019-05-16
1538723143 Florence Okojie Nurse Practitioner 13 C St Ste G, Laurel, MD 20707 2019-04-29
1487148631 Munsha Sidhu Chadha Dentist 595 Main St Ste 237, Laurel, MD 20707 2018-06-20
1568953370 Carleen Graham Schwimmer Clinical Neuropsychologist Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 2018-05-29
1043709637 Bk Behavioral Health Center Behavior Technician 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707 2018-05-09
1053800839 Bk Behaviorial Health Center Substance Abuse Rehabilitation Facility 14300 Cherry Lane Court, Suite 202-203, Laurel, MD 20707 2018-05-07
1316435795 Laurel Pharmacy II LLC Pharmacy 14402 Baltimore Ave, Laurel, MD 20707 2018-05-01
1447778006 Danielle Grant Assistant Behavior Analyst 312 Marshall Ave Suite 102, Laurel, MD 20707 2017-09-05
Find all providers in zip 20707

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497364814 Adedoyin Sobowale Nurse Practitioner 7701 Beall Rd, Laurel, MD 20707-3300 2020-07-31
1003437377 Judith Tangi Nurse Practitioner 8125 Mallard Shore Dr, Laurel, MD 20724-2967 2020-04-28
1922664796 Maryrose Otugo Nurse Practitioner 14301 Wilshire Ct, Laurel, MD 20707-9512 2019-05-16
1316404353 Maria Neh Tancho Nurse Practitioner 13715 Oaklands Manor Dr, Laurel, MD 20708-1430 2019-02-26
1588901946 Mary Nongndeh Zelio Nurse Practitioner 3573 Fort Meade Rd, Laurel, MD 20724-2015 2013-01-04
1093075731 Nadine Carole Missiet Fogoum Nurse Practitioner 8625 Savannah River Rd, Laurel, MD 20724-1956 2012-05-28
1649573346 Leighton Kennedy Nurse Practitioner 8101 Sandy Spring Rd Ste 250, Laurel, MD 20707-3527 2010-12-19
1780816553 Janet Powell Mcmillan Nurse Practitioner 69 Watertank Rd, Laurel, MS 39443-2954 2009-08-12
1487260584 Rose Godwin Support Services, Inc Nurse Practitioner 13671 Baltimore Ave, Laurel, MD 20707-5096 2020-09-23
1548871106 Muni Gwanyebit Nurse Practitioner 13994 Baltimore Ave Ste 102, Laurel, MD 20707-5087 2020-08-16
Find all providers in LAUREL

Competitor

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City LAUREL
Zip Code 20707

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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