Wellness Source LLC
Wellness Source LLC is a healthcare organization registered as Registered Dietitian in Hyattsville, MD, holding Type 2 (organization) NPI 1114420320 since 2018. The authorized official on file is Marshalee George, Medical Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114420320 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wellness Source LLC |
| Other name | <Unavail> |
| Practice address | 4301 GARDEN CITY DR STE 304, Hyattsville, MD, 20785 |
| Phone | 3012350060 |
| Enumeration date | 2018-03-14 |
| Last updated in NPPES | 2022-05-04 |
Authorized official
| Name | Marshalee George |
|---|---|
| Title | Medical Director |
| Phone | 3012350060 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 133VN1006X | Metabolic Nutrition Registered Dietitian | Secondary | — | — |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | Secondary | — | — |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | Secondary | — | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | Secondary | — | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | Secondary | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | Secondary | — | — |
| 363LF0000X | Family Nurse Practitioner | Secondary | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | Secondary | — | — |
| 363LW0102X | Women's Health Nurse Practitioner | Secondary | — | — |
| 133V00000X | Registered Dietitian | Primary | — | — |
Copy-ready billing details
Provider: Wellness Source LLC NPI: 1114420320 Taxonomy: 133V00000X (Registered Dietitian) Address: 4301 GARDEN CITY DR STE 304, Hyattsville, MD, 20785
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1952370272 | Marshalee George | Individual | Psychiatric/Mental Health Nurse Practitioner | Hyattsville, MD |
| 1104872225 | Kordai Decoteau | Individual | Podiatrist | Hyattsville, MD |
| 1780031724 | Wellness Source LLC | Organization | Family Nurse Practitioner | Hyattsville, MD |
| 1205339413 | Wellness Source LLC | Organization | Psychiatric/Mental Health Nurse Practitioner | Hyattsville, MD |
| 1235699620 | Sara Schwartz | Individual | Family Nurse Practitioner | Hyattsville, MD |
| 1588219059 | Susan Lopez | Individual | Registered Dietitian | Hyattsville, MD |
| 1174160980 | Survivor Sources Inc | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Hyattsville, MD |
| 1316667355 | Kathryn Lopez | Individual | Registered Dietitian | Hyattsville, MD |
Verify this record
Cross-check NPI 1114420320 against the authoritative CMS record: view Wellness Source LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Wellness Source LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-05-04.