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MARYLAND WELLNESS LLC
NPI 1396451811
Clinic/Center - Mental Health (Including Community Mental Health Center) in Lanham, MD

Active since January 27, 2023
4200 FORBES BLVD STE 104, LANHAM, MD 20706(410) 314-1030(410) 314-1030 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 30, 2023, Jan 27, 2023 (2 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 1396451811) is a healthcare organization registered as a mental health (including community mental health center) in Lanham, Maryland and active in the NPI registry since January 2023. The organization maintains a secondary practice location in Baltimore and lists Sierra Burley, Credentialing Specislist, as its authorized official.

NPPES Registry Identity

NPI1396451811
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMARYLAND WELLNESS LLC
Location Address4200 FORBES BLVD STE 104Lanham, MD 20706-4872
Mailing Address4128 Hayward AveBaltimore, MD 21215-4340 · (410) 314-1030 · Fax (410) 314-1030
Phone(410) 314-1030
Fax(410) 314-1030
Organization SubpartNo
Authorized OfficialSierra BurleyCredentialing Specislist · (410) 314-1030
Enumeration DateJanuary 27, 2023
Last NPPES UpdateApril 16, 20252 updates tracked since enumeration
NPPES CertifiedApril 16, 2025
✔ NPI 1396451811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
4200 FORBES BLVD STE 104, Lanham, MD 20706
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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 1

Other200710000MD · Md Department Of Health - Outpatient Mental Health Center (omhc) - Adult

Other Providers at the Same Location NPPES 6

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

MARYLAND WELLNESS LLC
Clinic/Center (Rehabilitation)
4200 FORBES BLVD STE 104
LANHAM, MD 20706
Prince George's County (410) 314-1030
LAURENCE JOSEPH GREENWOOD M.D.
Psychiatry & Neurology (Psychiatry)
4200 FORBES BLVD STE 104
LANHAM, MD 20706
Prince George's County (301) 335-3854
KATHLEEN YOUNG & ASSOCIATES LLC
Community/Behavioral Health
4200 FORBES BLVD STE 104
LANHAM, MD 20706
Prince George's County (240) 306-8108
NAHIR AYELEN VILLARREAL GARCIA LCPC
Counselor (Mental Health)
4200 FORBES BLVD STE 104
LANHAM, MD 20706
Prince George's County (301) 220-2842
MARYLAND WELLNESS LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
4200 FORBES BLVD STE 104
LANHAM, MD 20706
Prince George's County (410) 314-1030
TATIANA RUMMEL
Counselor (Mental Health)
4200 FORBES BLVD STE 104
LANHAM, MD 20706
Prince George's County (301) 429-6100

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 1396451811. 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 4200 Forbes Blvd Ste 104, Lanham, MD 20706. 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 Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Maryland Wellness LLC was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.