PEM WELLNESS LLC NPI 1710720180

NPI Information

  • NPI: 1710720180
  • Provider Name: PEM WELLNESS LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 375 CHISELED STONE RD
    SYKESVILLE, MD
    ZIP 21784
  • Phone: (443) 865-8695

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NPI Details

PEM WELLNESS LLC is a primary care clinic center in Sykesville, MD. PEM WELLNESS LLC NPI is 1710720180. The provider is registered as an organization entity type.

The provider's business location address is:

375 CHISELED STONE RD
SYKESVILLE, MD
ZIP 21784-656
Phone: (443) 865-8695

The provider's authorized official is Ashley Valle Lucas .
The authorized official title is Owner and has the following contact phone number (443) 865-8695.

The enumeration date for this NPI number is 6/14/2024 and was last updated on 6/14/2024.

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
1261QP2300XClinic/CenterPrimary CareYes
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo

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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