Maryland Wellness LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Hampstead, MD. Organization (NPI-2).
NPI number1760065643
StatusActive
Last updated in NPPESApr 16, 2025
Details
- NPI
- 1760065643
- Entity type
- Organization (NPI-2)
- Legal business name
- Maryland Wellness LLC
- Organization subpart
- Yes
- Enumeration date
- Apr 29, 2021
- Certification date
- Apr 16, 2025
- Last updated
- Apr 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
4500 Black Rock Rd # G2Hampstead, MD 21074-2636
Phone 410-241-6317
Mailing address
4128 Hayward Ave # WBaltimore, MD 21215-4340
Phone 410-241-6317
Authorized official
Sierra Burley
Credentialing Specialist
4103141030
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