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MARYLAND WELLNESS LLC
NPI 1659082642
Clinic/Center - Mental Health (Including Community Mental Health Center) in Baltimore, MD

Active since December 09, 2022
4128 HAYWARD AVE, BALTIMORE, MD 21215(410) 314-1030 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Maryland Wellness Llc NPPES

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

MARYLAND WELLNESS LLC (NPI 1659082642) is a healthcare organization registered as a mental health (including community mental health center) in Baltimore, Maryland and active in the NPI registry since December 2022. The organization lists Casey Wu, Director, as its authorized official.

NPPES Registry Identity

NPI1659082642
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMARYLAND WELLNESS LLC
Location Address4128 HAYWARD AVEBaltimore, MD 21215-4340
Mailing Address4128 Hayward AveBaltimore, MD 21215-4340
Phone(410) 314-1030
Organization SubpartNo
Authorized OfficialCasey WuDirector · (410) 241-6317
Enumeration DateDecember 9, 2022
NPPES CertifiedDecember 7, 2022
✔ NPI 1659082642 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
4128 HAYWARD AVE, Baltimore, MD 21215
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Other Providers at the Same Location NPPES 16

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

RACHEL NEUBERGER LCSW-C
Social Worker (Clinical)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Baltimore City (410) 732-0983
MARY AISLING MARTIN LMSW
Social Worker (Clinical)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Baltimore City (410) 314-1030
CLEMENTINE OKIE
Nurse Practitioner (Psychiatric/Mental Health)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Baltimore City (410) 314-1030
SARAH KENNEDY LMSW
Social Worker (Clinical)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Baltimore City (410) 591-7459
BRANDI MUNDIE LCPC
Counselor (Professional)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Baltimore City (410) 357-6599
SONIA PERRIER LMSW
Counselor (Mental Health)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Baltimore City (410) 314-1030
MR. ELIEZER SHULMAN LMSW-MASTER
Social Worker (Clinical)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Baltimore City (410) 241-6317
IDEAL OPTION, PLLC
Clinic/Center
4128 HAYWARD AVE
BALTIMORE, MD 21215
Baltimore City (877) 522-1275

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 1659082642. It was assigned to this organization in the NPPES registry on December 9, 2022.

Where is Maryland Wellness LLC located?

Maryland Wellness LLC is located at 4128 Hayward Ave, 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 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 December 9, 2022. 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.