Wellness Source LLC
Wellness Source LLC is a healthcare organization registered as Psychiatric/Mental Health Nurse Practitioner in Hyattsville, MD, holding Type 2 (organization) NPI 1205339413 since 2018. The authorized official on file is Marshalee George, Medical Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205339413 |
|---|---|
| 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 | 2020-11-13 |
Authorized official
| Name | Marshalee George |
|---|---|
| Title | Medical Director |
| Phone | 3012350060 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1041C0700X | Clinical Social Worker | Secondary | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600082701 | Medicaid | MD | — |
| 192174600 | Medicaid | MD | — |
| 601006700 | Medicaid | MH | — |
| 600082700 | Medicaid | MD | — |
Copy-ready billing details
Provider: Wellness Source LLC NPI: 1205339413 Taxonomy: 363LP0808X (Psychiatric/Mental Health Nurse Practitioner) 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 |
| 1114420320 | Wellness Source LLC | Organization | Registered Dietitian | 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 1205339413 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
How current is this record?
Where is Wellness Source LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-11-13.