# GUADALUPE CENTER FOR HEALING

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

## Provider details

- **NPI number:** 1144716192
- **Authorized official:** MRS. MARJORIE R LIVINGSTON CRNP (OWNER)
- **Authorized official phone:** (478) 250-7092

## Contact information

- **Practice address:** 1643 LIBERTY RD STE 105, ELDERSBURG, MD 21784-6545
- **Practice address phone:** (478) 250-7092
- **Mailing address:** 717 COLLIER CT, WESTMINSTER, MD 21158-9449
- **Mailing address phone:** (478) 250-7092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | W18924431 | MD | Yes |

## Other

- **Enumeration date:** 07/02/2018
- **Last updated:** 01/24/2024