# WELL LIFE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053016121
- **Authorized official:** MRS. ASHLEY WATKINS CRNP PMHNP-BC (CEO)
- **Authorized official phone:** (443) 939-5654

## Contact information

- **Practice address:** 4709 HARFORD RD \# 187, BALTIMORE, MD 21214-3261
- **Practice address phone:** (443) 840-9626
- **Mailing address:** 1536 PENTWOOD RD, BALTIMORE, MD 21239-4036
- **Mailing address phone:** (443) 939-5654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/30/2023
- **Last updated:** 03/30/2023