# SAGELIGHT INTEGRATIVE WELLNESS CENTER

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

## Provider details

- **NPI number:** 1215413273
- **Authorized official:** RENEE MCSWAIN (OWNER)
- **Authorized official phone:** (410) 730-1499

## Contact information

- **Practice address:** 10450 SHAKER DR STE 113, COLUMBIA, MD 21046-2351
- **Practice address phone:** (410) 730-1499
- **Mailing address:** 10450 SHAKER DR STE 113, COLUMBIA, MD 21046-2351
- **Mailing address phone:** (410) 730-1499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | U01054 | MD | Yes |

## Other

- **Enumeration date:** 07/12/2018
- **Last updated:** 07/12/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1518182740 | NPI | MD |