| Healing Mind Wellness Llc | |
|
124 Slade Ave Ste 101 Pikesville MD 21208-4900 | |
| (410) 452-4325 | |
| Not Available |
| Full Name | Healing Mind Wellness Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 124 Slade Ave Ste 101, Pikesville, Maryland |
| Authorized Official Name and Position | Tywanna D Hamilton (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4104524325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Mind Wellness Llc 124 Slade Ave Ste 101 Pikesville MD 21208-4900 Ph: (410) 452-4325 | Healing Mind Wellness Llc 124 Slade Ave Ste 101 Pikesville MD 21208-4900 Ph: (410) 452-4325 |
| NPI Number | 1598345241 |
|---|---|
| Provider Enumeration Date | 04/08/2021 |
| Last Update Date | 02/27/2023 |
| Certification Date | 02/27/2023 |
| Medicare PECOS PAC ID | 2062885122 |
|---|---|
| Medicare Enrollment ID | O20230310001724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598345241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Tywanna D Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487070868 PECOS PAC ID: 3779868856 Enrollment ID: I20180116000759 |
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