Healthcare Provider Details

I. General information

NPI: 1023938438
Provider Name (Legal Business Name): RAINBOW SPRING WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8609 2ND AVE STE 307B
SILVER SPRING MD
20910-3361
US

IV. Provider business mailing address

8609 2ND AVE STE 307B
SILVER SPRING MD
20910-3361
US

V. Phone/Fax

Practice location:
  • Phone: 301-818-0707
  • Fax:
Mailing address:
  • Phone: 301-818-0707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARA LEVY
Title or Position: OWNER
Credential: OTR/L
Phone: 301-818-0707