| Complete Wellness, Inc. | |
|
10 W Madison St #11 Baltimore MD 21201-5239 | |
| (443) 438-7863 | |
| (443) 957-9485 |
| Full Name | Complete Wellness, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 10 W Madison St, Baltimore, Maryland |
| Authorized Official Name and Position | Durwood Whitten (DIRECTOR) |
| Authorized Official Contact | 4434387863 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Wellness, Inc. 10 W Madison St #11 Baltimore MD 21201-5239 Ph: (443) 438-7863 | Complete Wellness, Inc. 10 W Madison St #11 Baltimore MD 21201-5239 Ph: (443) 438-7863 |
| NPI Number | 1912336934 |
|---|---|
| Provider Enumeration Date | 11/12/2013 |
| Last Update Date | 11/12/2013 |
| Medicare PECOS PAC ID | 5496096489 |
|---|---|
| Medicare Enrollment ID | O20190329002154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912336934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | William Durwood Whitten |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801168869 PECOS PAC ID: 1557526837 Enrollment ID: I20120712000236 |
| Provider Name | Kathryn G Crosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790037398 PECOS PAC ID: 9931329521 Enrollment ID: I20141002000753 |
| Provider Name | Jessica Page Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508265737 PECOS PAC ID: 8527386366 Enrollment ID: I20190904002147 |
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