PUSH BEYOND WELLNESS SERVICES LLC. NPI 1194520536

NPI Information

  • NPI: 1194520536
  • Provider Name: PUSH BEYOND WELLNESS SERVICES, LLC.
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 6061 OTTERBEIN LN APT 305
    ELLICOTT CITY, MD
    ZIP 21043
  • Phone: (443) 633-6442

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NPI Details

PUSH BEYOND WELLNESS SERVICES, LLC. is a mental health (including community mental health center) clinic center in Ellicott City, MD. PUSH BEYOND WELLNESS SERVICES, LLC. NPI is 1194520536. The provider is registered as an organization entity type.

The provider's business location address is:

6061 OTTERBEIN LN APT 305
ELLICOTT CITY, MD
ZIP 21043-615
Phone: (443) 633-6442

The provider's authorized official is Nina Antoinette Robinson .
The authorized official title is Owner and has the following contact phone number (443) 633-6442.

The enumeration date for this NPI number is 2/18/2025 and was last updated on 2/18/2025.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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: 11/21/2025

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