Provider Demographics
NPI:1356125561
Name:ALCHEMY THERAPY AND HOLISTIC WELLNESS SPACE
Entity type:Organization
Organization Name:ALCHEMY THERAPY AND HOLISTIC WELLNESS SPACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWC
Authorized Official - Phone:240-488-6638
Mailing Address - Street 1:341 ATTENBOROUGH DR APT 301
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-4958
Mailing Address - Country:US
Mailing Address - Phone:443-600-2907
Mailing Address - Fax:
Practice Address - Street 1:120 WATERFRONT STREET
Practice Address - Street 2:SUITE 420 #2276
Practice Address - City:NATIONAL HARBOR
Practice Address - State:MD
Practice Address - Zip Code:20745
Practice Address - Country:US
Practice Address - Phone:240-488-6638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health