CHARM CITY WELLNESS COLLABORATIVE, LLC
NPI 1649046814
Nurse Practitioner - Family in Baltimore, MD

Active since November 29, 2023
612 SAINT DUNSTANS RD, BALTIMORE, MD 21212(443) 377-3237(410) 226-7037 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charm City Wellness Collaborative, Llc NPPES

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

CHARM CITY WELLNESS COLLABORATIVE, LLC (NPI 1649046814) is a healthcare organization registered as a family in Baltimore, Maryland and active in the NPI registry since November 2023. The organization lists Mk Haber, Founder, Lead Clinician, as its authorized official.

NPPES Registry Identity

NPI1649046814
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCHARM CITY WELLNESS COLLABORATIVE, LLC
Location Address612 SAINT DUNSTANS RDBaltimore, MD 21212-3736
Mailing Address5835 York Rd # 1073Baltimore, MD 21212-3612 · (410) 456-6315
Fax(410) 226-7037
Organization SubpartNo
Authorized OfficialMk HaberFounder, Lead Clinician · (410) 456-6315
Enumeration DateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
NPI 1649046814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedRegistered Nurse · Lactation ConsultantTaxonomy 163WL0100X
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X
Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
612 SAINT DUNSTANS RD, Baltimore, MD 21212

Other Names 1

Other NameCharm City Wellness Collaborative, Llc

Other Identifiers 1

Medicaid112778100MD

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 Charm City Wellness Collaborative, LLC's NPI number?

The NPI number for Charm City Wellness Collaborative, LLC is 1649046814. It was assigned to this organization in the NPPES registry on November 29, 2023.

Where is Charm City Wellness Collaborative, LLC located?

Charm City Wellness Collaborative, LLC is located at 612 Saint Dunstans Rd, Baltimore, MD 21212. The listed phone number is (443) 377-3237.

What is Charm City Wellness Collaborative, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Charm City Wellness Collaborative, LLC was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.