Provider Demographics
NPI:1073030284
Name:ATHAS WELLNESS THERAPY LLC
Entity Type:Organization
Organization Name:ATHAS WELLNESS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCATEE
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:410-215-6906
Mailing Address - Street 1:3615 E JOPPA RD STE 270
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-3382
Mailing Address - Country:US
Mailing Address - Phone:410-215-6906
Mailing Address - Fax:
Practice Address - Street 1:3615 E JOPPA RD STE 270
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-3382
Practice Address - Country:US
Practice Address - Phone:410-215-6906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2242101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty