MARYLAND WELLNESS LLC NPI 1013622273

NPI Information

  • NPI: 1013622273
  • Provider Name: MARYLAND WELLNESS LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 2255 CRAIN HWY STE 106
    WALDORF, MD
    ZIP 20601
  • Phone: (410) 314-1030

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NPI Details

MARYLAND WELLNESS LLC is a substance abuse rehabilitation facility in Waldorf, MD. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MARYLAND WELLNESS LLC NPI is 1013622273. 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) 314-1030
Fax: (410) 314-1030

The provider's authorized official is Sierra Burley .
The authorized official title is Credentialing Specialist and has the following contact phone number (410) 314-1030.

The enumeration date for this NPI number is 1/20/2023 and was last updated on 4/16/2025.

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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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
1220412456OTHERMARYLANDMD DEPARTMENT OF HEALTH - LEVEL 2.1 - INTENSIVE OUTPATIENT TREATMENT PROGRAM
2220412455OTHERMARYLANDMD DEPARTMENT OF HEALTH - LEVEL 1 - OUTPATIENT TREATMENT PROGRAM

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: 11/21/2025

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