Maryland Wellness LLC

NPI #1760065643 in Hampstead, Maryland

Provider Information

NPI Number: 1760065643
Entity Type: Organization
Organization Name: Maryland Wellness LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MARYLAND WELLNESS LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Apr 29, 2021
Last Updated: Apr 16, 2025

Practice Location

Address: 4500 BLACK ROCK RD # G2
City: Hampstead
State: Maryland
ZIP Code: 21074-2636
Phone: (410) 241-6317

Authorized Official

Name: MS. SIERRA BURLEY
Title: CREDENTIALING SPECIALIST
Phone: (410) 314-1030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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