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LAKE WELLNESS COLLECTIVE
NPI 1144012105
Counselor - Mental Health in Bowie, MD

Active since May 17, 2025
8609 PARK AVE, BOWIE, MD 20720(301) 615-0883 Get Directions Write a Review

NPPES record last updated: May 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Wellness Collective NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE WELLNESS COLLECTIVE (NPI 1144012105) is a healthcare organization registered as a mental health in Bowie, Maryland and active in the NPI registry since May 2025. The organization lists Marvida Frances Lake, Lead Therapist, as its authorized official.

NPPES Registry Identity

NPI1144012105
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameLAKE WELLNESS COLLECTIVE
Location Address8609 PARK AVEBowie, MD 20720-3698
Mailing Address8609 Park AveBowie, MD 20720-3698
Phone(301) 615-0883
Organization SubpartNo
Authorized OfficialMarvida Frances LakeLead Therapist · (919) 741-3481
Enumeration DateMay 17, 2025
NPPES CertifiedMay 17, 2025
✔ NPI 1144012105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
8609 PARK AVE, Bowie, MD 20720
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Wellness Collective's NPI number?

The NPI number for Lake Wellness Collective is 1144012105. It was assigned to this organization in the NPPES registry on May 17, 2025.

Where is Lake Wellness Collective located?

Lake Wellness Collective is located at 8609 Park Ave, Bowie, MD 20720. The listed phone number is (301) 615-0883.

What is Lake Wellness Collective's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lake Wellness Collective was last updated on May 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.