Provider Demographics
NPI:1386009603
Name:NELWLEN EDUCATIONAL SERVICES, LLC
Entity Type:Organization
Organization Name:NELWLEN EDUCATIONAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NEWTON
Authorized Official - Middle Name:CLIVE
Authorized Official - Last Name:LENNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-559-1673
Mailing Address - Street 1:9404 SHIELD DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-4335
Mailing Address - Country:US
Mailing Address - Phone:301-559-1673
Mailing Address - Fax:301-500-1208
Practice Address - Street 1:9404 SHIELD DR
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-4335
Practice Address - Country:US
Practice Address - Phone:301-559-1673
Practice Address - Fax:301-500-1208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-31
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health