Provider Demographics
NPI:1104624329
Name:REHAB2WELLNESS LLC
Entity type:Organization
Organization Name:REHAB2WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/ OWNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:JERRILYN
Authorized Official - Middle Name:E J
Authorized Official - Last Name:FABIEN
Authorized Official - Suffix:
Authorized Official - Credentials:LGPC
Authorized Official - Phone:240-338-6118
Mailing Address - Street 1:6301 WHISTLERS PL
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-4361
Mailing Address - Country:US
Mailing Address - Phone:832-708-9321
Mailing Address - Fax:
Practice Address - Street 1:6711 FARMER DR
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-1021
Practice Address - Country:US
Practice Address - Phone:832-708-9321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty