Healthcare Provider Details

I. General information

NPI: 1619749231
Provider Name (Legal Business Name): M WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2023
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 PICCARD DR STE 204
ROCKVILLE MD
20850-4375
US

IV. Provider business mailing address

7017 DOLPHIN RD
LANHAM MD
20706-3908
US

V. Phone/Fax

Practice location:
  • Phone: 703-832-1833
  • Fax:
Mailing address:
  • Phone: 703-832-1833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: HYO SHIK CHOUNG
Title or Position: ACUPUNCTURIST
Credential:
Phone: 703-832-1833