MARYLAND WELLNESS LLC - NPI 1013622273 - Substance Abuse Rehabilitation Facility in Waldorf, MD

Q: What is Maryland Wellness LLC's NPI number?

The NPI number for Maryland Wellness LLC is 1013622273. It was assigned to this organization in the NPPES registry on January 20, 2023.

Q: What is Maryland Wellness LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

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About Maryland Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYLAND WELLNESS LLC (NPI 1013622273) is a healthcare organization registered as a substance abuse rehabilitation facility in Waldorf, Maryland and active in the NPI registry since January 2023. The organization maintains a secondary practice location in Baltimore and lists Sierra Burley, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1013622273

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameMARYLAND WELLNESS LLC

Location Address2255 CRAIN HWY STE 106Waldorf, MD 20601-3186

Mailing Address4128 Hayward Ave # WBaltimore, MD 21215-4340 · (410) 314-1030 · Fax (410) 314-1030

Phone(410) 314-1030

Fax(410) 314-1030

Organization SubpartNo

Authorized OfficialSierra BurleyCredentialing Specialist · (410) 314-1030

Enumeration DateJanuary 20, 2023

Last NPPES UpdateApril 16, 20253 updates tracked since enumeration

NPPES CertifiedApril 16, 2025

✔ NPI 1013622273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

2255 CRAIN HWY STE 106, Waldorf, MD 20601

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Secondary Practice Location 1

Location 14128 Hayward AveBaltimore, MD 21215-4340 · Phone (410) 314-1030 · Fax (410) 314-1030

Other Identifiers 2

Other220412456MD · Md Department Of Health - Level 2.1 - Intensive Outpatient Treatment Program

Other220412455MD · Md Department Of Health - Level 1 - Outpatient Treatment Program

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARYLAND WELLNESS LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))