# ROAR WELLNESS, LLC

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

## Provider details

- **NPI number:** 1164190617
- **Authorized official:** MS. ELLEN LINE LCSW-C (CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (410) 929-6087

## Contact information

- **Practice address:** 4002 FALLS RD, BALTIMORE, MD 21211-1740
- **Practice address phone:** (410) 929-6087
- **Mailing address:** 4002 FALLS RD, BALTIMORE, MD 21211-1740
- **Mailing address phone:** (410) 929-6087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2021
- **Last updated:** 08/27/2026