Provider Demographics
NPI:1316833098
Name:NEW TOWN WELLNESS, LLC
Entity type:Organization
Organization Name:NEW TOWN WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:O'HAGAN
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:301-327-0820
Mailing Address - Street 1:16100 BURTON LN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-2663
Mailing Address - Country:US
Mailing Address - Phone:301-742-3397
Mailing Address - Fax:
Practice Address - Street 1:16100 BURTON LN
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-2663
Practice Address - Country:US
Practice Address - Phone:301-742-3397
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health