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ELYSIAN FIELDS OPTIMUM WELLNESS NPI 1902303415


NPI Information

NPI: 1902303415
Provider Name: ELYSIAN FIELDS OPTIMUM WELLNESS

Doing Business As: THE SEVENTY TIMES SEVEN WELLNESS MISSION

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2222 N HOWARD ST
BALTIMORE, MD
ZIP 21218
Phone: (410) 624-5037
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ELYSIAN FIELDS OPTIMUM WELLNESS is an adult mental health clinic center in Baltimore, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. ELYSIAN FIELDS OPTIMUM WELLNESS NPI is 1902303415. The provider is registered as an organization entity type.
The provider Is Doing Business As The Seventy Times Seven Wellness Mission.

The provider's business location address is:

2222 N HOWARD ST
BALTIMORE, MD
ZIP 21218
Phone: (410) 624-5037

The provider's authorized official is Arthur Griffin .
The authorized official title is Owner and has the following contact phone number (410) 624-5037.

The enumeration date for this NPI number is 4/11/2018 and was last updated on 1/5/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthNo
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QM0850XClinic/CenterAdult Mental HealthBH000553MARYLANDYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.