WELLNESS SOURCE LLC - NPI 1780031724 - Nurse Practitioner in Hyattsville, MD

Q: What is Wellness Source LLC's NPI number?

The NPI number for Wellness Source LLC is 1780031724. It was assigned to this organization in the NPPES registry on May 19, 2016. The provider is doing business as Your Wellness Sources.

Q: What is Wellness Source LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

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About Wellness Source Llc NPPES

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

WELLNESS SOURCE LLC (NPI 1780031724), doing business as Your Wellness Sources, is a healthcare organization registered as a family in Hyattsville, Maryland and active in the NPI registry since May 2016. The organization lists Marshalee George, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1780031724

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameWELLNESS SOURCE LLC

Location Address4301 GARDEN CITY DR STE 304Hyattsville, MD 20785-6105

Mailing Address4301 Garden City Dr Ste 304Hyattsville, MD 20785-6105 · (301) 235-0600 · Fax (240) 324-7720

Phone(301) 235-0060

Fax(240) 324-7720

Organization SubpartNo

Authorized OfficialMarshalee GeorgeMedical Director · (301) 235-0060

Enumeration DateMay 19, 2016

Last NPPES UpdateMay 27, 20264 updates tracked since enumeration

NPPES CertifiedMay 27, 2026

✔ NPI 1780031724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

Also ListedClinical Nurse Specialist · Psychiatric/Mental Health, AdultTaxonomy 364SP0809X

4301 GARDEN CITY DR STE 304, Hyattsville, MD 20785

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Other Names 1

Doing Business AsYour Wellness Sources

Other Identifiers 3

Medicaid051747821DC

Medicaid600082700MD

Other540582MD · Medicare Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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