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MARYLAND WELLNESS LLC
NPI 1205542701
Clinic/Center - Rehabilitation, Substance Use Disorder in Baltimore, MD

Active since January 27, 2023
4128 HAYWARD AVE # W, BALTIMORE, MD 21215(410) 314-1030 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 15, 2023, Jan 30, 2023, Jan 27, 2023 (3 updates tracked since 2023).

About Maryland Wellness Llc NPPES

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

MARYLAND WELLNESS LLC (NPI 1205542701) is a healthcare organization registered as a rehabilitation, substance use disorder in Baltimore, Maryland and active in the NPI registry since January 2023. The organization maintains 3 additional practice locations and lists Casey Wu, Director, as its authorized official.

NPPES Registry Identity

NPI1205542701
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameMARYLAND WELLNESS LLC
Location Address4128 HAYWARD AVE # WBaltimore, MD 21215-4340
Mailing Address4128 Hayward Ave # WBaltimore, MD 21215-4340 · (410) 314-1030
Phone(410) 314-1030
Organization SubpartNo
Authorized OfficialCasey WuDirector · (214) 659-1503
Enumeration DateJanuary 27, 2023
Last NPPES UpdateMarch 15, 20233 updates tracked since enumeration
NPPES CertifiedMarch 15, 2023
✔ NPI 1205542701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
4128 HAYWARD AVE # W, Baltimore, MD 21215
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Secondary Practice Locations 3

Location 1519 N Mechanic StCumberland, MD 21502-2133 · Phone (410) 314-1030 · Fax (410) 314-1030
Location 22255 Crain Hwy Ste 106Waldorf, MD 20601-3186 · Phone (410) 314-1030 · Fax (410) 314-1030
Location 34200 Forbes Blvd Ste 104Lanham, MD 20706-4872 · Phone (410) 314-1030 · Fax (410) 314-1030

Other Identifiers 2

Other220412460MD · Maryland Department Of Health - Level 1 - Outpatient Treatment Program - Adults
Other220412461MD · Maryland Department Of Health - Level 2.1 - Intensive Outpatient Treatment

Other Providers at the Same Location NPPES 3

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))
4128 HAYWARD AVE # W
BALTIMORE, MD 21215
Baltimore City (410) 994-6491
MARYLAND WELLNESS LLC
Clinic/Center (Rehabilitation)
4128 HAYWARD AVE # W
BALTIMORE, MD 21215
Baltimore City (410) 314-1030
MARYLAND WELLNESS LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4128 HAYWARD AVE # W
BALTIMORE, MD 21215
Baltimore City (410) 314-1030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryland Wellness LLC's NPI number?

The NPI number for Maryland Wellness LLC is 1205542701. It was assigned to this organization in the NPPES registry on January 27, 2023.

Where is Maryland Wellness LLC located?

Maryland Wellness LLC is located at 4128 Hayward Ave # W, Baltimore, MD 21215. The listed phone number is (410) 314-1030.

What is Maryland Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Maryland Wellness LLC was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.