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BLUE SPRING WELLNESS CENTER LLC NPI 1497349997


NPI Information

NPI: 1497349997
Provider Name: BLUE SPRING WELLNESS CENTER LLC

Doing Business As: BLUE SPRING WELLNESS CENTER LLC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
807 EAST BALTIMORE ST, UNIT 1A,
BALTIMORE, MD
ZIP 21202
Phone: (410) 456-5812
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BLUE SPRING WELLNESS CENTER LLC is a mental health (including community mental health center) clinic center in Baltimore, MD. BLUE SPRING WELLNESS CENTER LLC NPI is 1497349997. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Blue Spring Wellness Center Llc.

The provider's business location address is:

807 EAST BALTIMORE ST, UNIT 1A,
BALTIMORE, MD
ZIP 21202-388
Phone: (410) 456-5812

The provider's authorized official is Hotenesia Njoroge .
The authorized official title is Medical Director and has the following contact phone number (410) 456-5812.

The enumeration date for this NPI number is 2/24/2021 and was last updated on 3/3/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
2261QM0801XClinic/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: 4/28/2024

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