Holistic Wellness Services
Clinic/Center, Adult Mental Health in Baltimore, MD. Organization (NPI-2).
NPI number1609587120
StatusActive
Last updated in NPPESDec 6, 2022
Details
- NPI
- 1609587120
- Entity type
- Organization (NPI-2)
- Legal business name
- Holistic Wellness Services
- Organization subpart
- No
- Enumeration date
- Dec 6, 2022
- Certification date
- Dec 6, 2022
- Last updated
- Dec 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
3806 Ravenwood AveBaltimore, MD 21213-2022
Phone 443-629-0646
Mailing address
Po Box 3394Baltimore, MD 21213-0394
Phone 443-629-0646
Authorized official
Vickie Cooke
Ceo / Founder
4436290646
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