WELLNESS SALON NPI 1588578140

NPI Information

  • NPI: 1588578140
  • Provider Name: WELLNESS SALON
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • :
  • Address: 2100 CHAPEL RD
    HAVRE DE GRACE, MD
    ZIP 21078
  • Phone: (443) 804-7407

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NPI Details

WELLNESS SALON is a psychiatric/mental health nurse practitioner in Havre De Grace, MD. WELLNESS SALON NPI is 1588578140. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

2100 CHAPEL RD
HAVRE DE GRACE, MD
ZIP 21078-816
Phone: (443) 804-7407

The provider's authorized official is Lisa Montgomery .
The authorized official title is Owner and has the following contact phone number (443) 804-7407.

The enumeration date for this NPI number is 9/30/2026 and was last updated on 9/30/2026.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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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