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EAGLES WELLNESS CENTER
NPI 1962196386
Clinic/Center - Mental Health (Including Community Mental Health Center) in Largo, MD

Active since June 07, 2023
1300 MERCANTILE LN STE 100K, LARGO, MD 20774(301) 636-0977(240) 219-4377 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eagles Wellness Center NPPES

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

EAGLES WELLNESS CENTER (NPI 1962196386) is a healthcare organization registered as a mental health (including community mental health center) in Largo, Maryland and active in the NPI registry since June 2023. The organization lists Deaniece Fields, Cfo, as its authorized official.

NPPES Registry Identity

NPI1962196386
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameEAGLES WELLNESS CENTER
Location Address1300 MERCANTILE LN STE 100KLargo, MD 20774-5390
Mailing Address13602 Gentry CtLaurel, MD 20708-1330 · (240) 832-4007 · Fax (240) 219-4377
Phone(301) 636-0977
Fax(240) 219-4377
Organization SubpartNo
Authorized OfficialDeaniece FieldsCfo · (240) 832-4007
Enumeration DateJune 7, 2023
NPPES CertifiedApril 24, 2023
✔ NPI 1962196386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1300 MERCANTILE LN STE 100K, Largo, MD 20774
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Other Providers at the Same Location NPPES

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

EAGLES WELLNESS CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
1300 MERCANTILE LN STE 100K
LARGO, MD 20774
Prince George's County (240) 832-2071

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 Eagles Wellness Center's NPI number?

The NPI number for Eagles Wellness Center is 1962196386. It was assigned to this organization in the NPPES registry on June 7, 2023.

Where is Eagles Wellness Center located?

Eagles Wellness Center is located at 1300 Mercantile Ln Ste 100K, Largo, MD 20774. The listed phone number is (301) 636-0977.

What is Eagles Wellness Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Eagles Wellness Center was last updated on June 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.