| Maryland Wellness Llc | |
|
2255 Crain Hwy Ste 106 Waldorf MD 20601-3186 | |
| (410) 314-1030 | |
| (410) 314-1030 |
| Full Name | Maryland Wellness Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2255 Crain Hwy Ste 106, Waldorf, Maryland |
| Authorized Official Name and Position | Casey Wu (DIRECTOR) |
| Authorized Official Contact | 2146591503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Wellness Llc 4128 Hayward Ave # W Baltimore MD 21215-4340 Ph: (410) 314-1030 | Maryland Wellness Llc 2255 Crain Hwy Ste 106 Waldorf MD 20601-3186 Ph: (410) 314-1030 |
| NPI Number | 1295441715 |
|---|---|
| Provider Enumeration Date | 01/27/2023 |
| Last Update Date | 03/07/2023 |
| Certification Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295441715 | NPI | - | NPPES |
| 220412457 | Other | MD | MD DEPARTMENT OF HEALTH - OMHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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