ETHEREAL WELLNESS CLINIC LLC
NPI 1215806427
Acupuncturist in Sykesville, MD

Active since November 04, 2025
1645 LIBERTY RD STE 102, SYKESVILLE, MD 21784(443) 398-7018 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethereal Wellness Clinic Llc NPPES

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

ETHEREAL WELLNESS CLINIC LLC (NPI 1215806427) is a healthcare organization registered as an acupuncturist in Sykesville, Maryland and active in the NPI registry since November 2025. The organization lists Yani Mao, Owner, as its authorized official.

NPPES Registry Identity

NPI1215806427
Entity TypeOrganization
Primary Taxonomy171100000X
Legal Business NameETHEREAL WELLNESS CLINIC LLC
Location Address1645 LIBERTY RD STE 102Sykesville, MD 21784-6537
Mailing Address1645 Liberty Rd Ste 102Sykesville, MD 21784-6537 · (443) 398-7018
Organization SubpartNo
Authorized OfficialYani MaoOwner · (443) 398-7018
Enumeration DateNovember 4, 2025
NPPES CertifiedNovember 4, 2025
NPI 1215806427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
1645 LIBERTY RD STE 102, Sykesville, MD 21784

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Ethereal Wellness Clinic LLC's NPI number?

The NPI number for Ethereal Wellness Clinic LLC is 1215806427. It was assigned to this organization in the NPPES registry on November 4, 2025.

Where is Ethereal Wellness Clinic LLC located?

Ethereal Wellness Clinic LLC is located at 1645 Liberty Rd Ste 102, Sykesville, MD 21784. The listed phone number is (443) 398-7018.

What is Ethereal Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Ethereal Wellness Clinic LLC was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.