Organization · NPI-2

Alatiya Wellness

Community/Behavioral Health · Glen Burnie, MD

NPI number1114818812

StatusActive

Last updated in NPPESJul 11, 2025

Details

NPI: 1114818812
Entity type: Organization (NPI-2)
Legal business name: Alatiya Wellness
Organization subpart: No
Enumeration date: Jul 10, 2025
Certification date: Jul 11, 2025
Last updated: Jul 11, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251S00000X	Community/Behavioral Health	–	–	Yes
101YM0800X	Counselor, Mental Health	–	–
1041C0700X	Social Worker, Clinical	–	–
171M00000X	Case Manager/Care Coordinator	–	–
363LP0808X	Nurse Practitioner, Psych/Mental Health	–	–

Practice location

1406b Crain Hwy S Ste 201
Glen Burnie, MD 21061-4336

Phone 410-497-7139

Mailing address

23 Pierside Dr Apt 237
Baltimore, MD 21230-5476

Phone 443-208-6156

Authorized official

Latasha Roles Mobley
Co-Owner
4432086156

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