Healthcare Provider Details

I. General information

NPI: 1275385569
Provider Name (Legal Business Name): ADONIS THERAPY AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2024
Last Update Date: 04/02/2024
Certification Date: 04/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6412 SYMPOSIUM WAY
CLINTON MD
20735-3862
US

IV. Provider business mailing address

1345 K ST SE UNIT 102
WASHINGTON DC
20003-4499
US

V. Phone/Fax

Practice location:
  • Phone: 202-870-9884
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: GABRIELA ADONIS
Title or Position: OWNER/CEO
Credential:
Phone: 202-754-7664