# NEW ERA WELLNESS, LLC

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

## Provider details

- **NPI number:** 1053020412
- **Authorized official:** TRACY RENNA THOMAS (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (410) 661-9552

## Contact information

- **Practice address:** 5411 OLD FREDERICK RD STE 2, BALTIMORE, MD 21229-2126
- **Practice address phone:** (410) 775-6394
- **Mailing address:** 5411 OLD FREDERICK RD STE 2, BALTIMORE, MD 21229-2126
- **Mailing address phone:** (410) 775-6394

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/15/2022
- **Last updated:** 05/06/2025