Provider Demographics
NPI:1609626365
Name:WELLNESS RESTORATION COUNSELING PLLC
Entity Type:Organization
Organization Name:WELLNESS RESTORATION COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARYLIN
Authorized Official - Middle Name:MARQUEZ
Authorized Official - Last Name:BECKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC, CCTP
Authorized Official - Phone:202-427-3996
Mailing Address - Street 1:1629 K ST NW STE 300
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-1631
Mailing Address - Country:US
Mailing Address - Phone:202-427-3996
Mailing Address - Fax:
Practice Address - Street 1:5420 LYNX LN UNIT 239
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2487
Practice Address - Country:US
Practice Address - Phone:202-925-1173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty