MEDICARE: VERDESSA WELLNESS STUDIO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1811847247
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERDESSA WELLNESS STUDIO

Provider Business Mailing Address
First Line	:	8101 SANDY SPRING RD STE 300-E8
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20707-3596
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8101 SANDY SPRING RD STE 300-E8
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20707-3596
Country	:	US
Telephone Number	:	240-587-5021
Fax Number	:

Authorized Official
Title or Position	:	HOLISTIC SERVICES DIRECTOR
Name	:	KAITLYN ST PETER
Credential	:
Telephone Number	:	802-681-5079

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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Directions to “VERDESSA WELLNESS STUDIO ” Practice Location

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