WISE MIND LLC NPI 1275054793

NPI Information

NPI: 1275054793
Provider Name: WISE MIND, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
90 PAINTERS MILL RD STE 203
OWINGS MILLS, MD
ZIP 21117
Phone: (410) 413-4108
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WISE MIND, LLC is a multi-specialty clinic center in Owings Mills, MD. WISE MIND, LLC NPI is 1275054793. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

90 PAINTERS MILL RD STE 203
OWINGS MILLS, MD
ZIP 21117-614
Phone: (410) 413-4108
Fax: (410) 510-1505

The provider's authorized official is Sharon T Davis .
The authorized official title is Owner and has the following contact phone number (410) 413-4108.

The enumeration date for this NPI number is 7/6/2017 and was last updated on 1/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	363LC1500X	Nurse Practitioner	Community Health	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
4	103T00000X	Psychologist		No
5	1041C0700X	Social Worker	Clinical	No
6	261Q00000X	Clinic/Center		No
7	261QH0100X	Clinic/Center	Health Service	No
8	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
9	261QM0850X	Clinic/Center	Adult Mental Health	No
10	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
11	101YM0800X	Counselor	Mental Health	No
12	261QM1300X	Clinic/Center	Multi-Specialty	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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