WELLBROOK BEHAVIORAL HEALTH SERVICES NPI 1487220281

NPI Information

  • NPI: 1487220281
  • Provider Name: WELLBROOK BEHAVIORAL HEALTH SERVICES
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 5764 STEVENS FOREST RD APT 322
    COLUMBIA, MD
    ZIP 21045
  • Phone: (410) 935-5177

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NPI Details

WELLBROOK BEHAVIORAL HEALTH SERVICES is a mental health (including community mental health center) clinic center in Columbia, MD. WELLBROOK BEHAVIORAL HEALTH SERVICES NPI is 1487220281. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5764 STEVENS FOREST RD APT 322
COLUMBIA, MD
ZIP 21045-758
Phone: (410) 935-5177
Fax: (410) 695-3778

The provider's authorized official is Kimberly Waibogha .
The authorized official title is Ceo and has the following contact phone number (304) 322-0275.

The enumeration date for this NPI number is 6/2/2021 and was last updated on 4/4/2023.

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
1103TC1900XPsychologistCounselingNo
21041C0700XSocial WorkerClinicalNo
3261QM0801XClinic/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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