| Therapeutic Wellness Services | |
|
6801 Belair Rd Baltimore MD 21206-1121 | |
| (410) 665-3000 | |
| (410) 665-3001 |
| Full Name | Therapeutic Wellness Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 6801 Belair Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Arteara Watkins (OWNER) |
| Authorized Official Contact | 4106653000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Wellness Services 6801 Belair Rd Baltimore MD 21206-1121 Ph: (410) 665-3000 | Therapeutic Wellness Services 6801 Belair Rd Baltimore MD 21206-1121 Ph: (410) 665-3000 |
| NPI Number | 1760155568 |
|---|---|
| Provider Enumeration Date | 07/28/2021 |
| Last Update Date | 05/05/2022 |
| Certification Date | 05/05/2022 |
| Medicare PECOS PAC ID | 0840673133 |
|---|---|
| Medicare Enrollment ID | O20220819000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760155568 | NPI | - | NPPES |
| D17845843 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Chimene Kiswey Diomi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578076634 PECOS PAC ID: 3577985175 Enrollment ID: I20200629001896 |
| Provider Name | Janene Michelle Levy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124423090 PECOS PAC ID: 2466719794 Enrollment ID: I20201103001890 |
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