Provider Demographics
NPI:1558132910
Name:EMERGE INTEGRATIVE WELLNESS
Entity Type:Organization
Organization Name:EMERGE INTEGRATIVE WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HANSITTA
Authorized Official - Middle Name:UCHE
Authorized Official - Last Name:ONYEMEZIKEYA
Authorized Official - Suffix:
Authorized Official - Credentials:LGPC
Authorized Official - Phone:240-776-5524
Mailing Address - Street 1:10104 SENATE DR STE 263
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-4395
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10104 SENATE DR STE 263
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4395
Practice Address - Country:US
Practice Address - Phone:240-776-5524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)