Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Wellness Collective

Organization Mental Health Counselor · NPI 1144012105

Lake Wellness Collective is a Mental Health Counselor in Bowie, Maryland. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

8609 Park Ave
Bowie, MD 20720-3698
Phone: (301) 615-0883
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1144012105
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marvida Lake — Lead Therapist · (919) 741-3481
NPI enumeratedMay 17, 2025
Last updated in NPPESMay 17, 2025
Certification dateMay 17, 2025
Mailing address8609 Park Ave, Bowie, MD 20720-3698

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