Organization · Type 2 NPI

Wellness Source LLC

Registered Dietitian · Hyattsville, MD

NPI number 1114420320 Active

Practice location

4301 Garden City Dr Ste 304
Hyattsville, MD 20785-6105

Specialties and licenses

Taxonomy	Code	License
Registered Dietitian Primary	133V00000X	None listed
Metabolic Nutrition Registered Dietitian	133VN1006X	None listed
Obesity and Weight Management Nutrition Registered Dietitian	133VN1201X	None listed

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

10 other providers at this address

NPI record

NPI: 1114420320
Entity type: Organization (Type 2)
Issued: Mar 14, 2018
Last updated: Oct 15, 2026
Status: Active

Other names

<unavail>
Your Wellness Sources · doing business as
Your Wellness Sources · doing business as
Your Wellness Sources - Nutrition · other name

Authorized official

Marshalee George
CEO, Medical Director
(301) 235-0060

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114420320

Wellness Source LLC's National Provider Identifier is 1114420320, issued on Mar 14, 2018. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Hyattsville, MD. The record was last updated on Oct 15, 2026.