MARYLAND WELLNESS LLC NPI 1699358572

NPI Information

NPI: 1699358572
Provider Name: MARYLAND WELLNESS LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2255 CRAIN HWY STE 106
WALDORF, MD
ZIP 20601
Phone: (410) 241-6317
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MARYLAND WELLNESS LLC is a mental health (including community mental health center) clinic center in Waldorf, MD. MARYLAND WELLNESS LLC NPI is 1699358572. The provider is registered as an organization entity type.

The provider's business location address is:

2255 CRAIN HWY STE 106
WALDORF, MD
ZIP 20601-186
Phone: (410) 241-6317

The provider's authorized official is Casey Wu .
The authorized official title is Director and has the following contact phone number (410) 241-6317.

The enumeration date for this NPI number is 4/29/2021 and was last updated on 12/7/2022.

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	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	220412456	OTHER	MARYLAND	MARYLAND BEHAVIORAL HEALTH ADMINISTRATION
2	220412455	OTHER	MARYLAND	MARYLAND BEHAVIORAL HEALTH ADMINISTRATION
3	220412458	OTHER	MARYLAND	MARYLAND BEHAVIORAL HEALTH ADMINISTRATION
4	220412457	OTHER	MARYLAND	MARYLAND BEHAVIORAL HEALTH ADMINISTRATION
5	220412459	OTHER	MARYLAND	MARYLAND BEHAVIORAL HEALTH ADMINISTRATION

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: 5/5/2024

NPI Synchronization or Removal

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