MY MENTAL WELLNESS, LLC NPI 1164018107

Counselor (Professional) in Odenton, MD

NPI 1164018107 Organization Counselor Professional

About MY MENTAL WELLNESS, LLC

My Mental Wellness, Llc is a provider established in Odenton, Maryland specializing in counselor (professional) . The NPI number of My Mental Wellness, Llc is 1164018107 and was assigned on December 2020. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated one year ago. My Mental Wellness, Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Norma Faye Powell Phd (Owner)

NPI

1164018107

Provider NameMY MENTAL WELLNESS, LLC
Provider Location Address2015 ASTILBE WAY ODENTON, MD 21113
Provider Mailing Address2015 ASTILBE WAY ODENTON, MD 21113
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date12-14-2020
Last Update Date12-14-2020


Primary Taxonomy

Taxonomy Code101YP2500X
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationProfessional

Business Address

MY MENTAL WELLNESS, LLC
2015 ASTILBE WAY
ODENTON, MD
ZIP 21113
Phone: (301) 642-5133
Fax: (443) 230-3536

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Mailing Address

MY MENTAL WELLNESS, LLC
2015 ASTILBE WAY
ODENTON, MD
ZIP 21113
Phone: (301) 642-5133
Fax: (443) 230-3536



Authorized Official

Authorized Official Name DR. NORMA FAYE POWELL PHD
Authorized Official TitleOWNER
Authorized Official Phone(301) 642-5133

Group Taxonomy


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

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912157769DR. NORMA FAYE POWELL LCPC
Individual
Counselor (Professional)2015 ASTILBE WAY
ODENTON, MD 21113
(301) 642-5133
1245528470MY MENTAL WELLNESS, LLC
Organization
Counselor (Mental Health)2015 ASTILBE WAY
ODENTON, MD 21113
(301) 642-5133

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.