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Organization
HEALING MINDS WELLNESS CENTER, LLC
Active
Organization
HEALING MINDS WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYONA DAVIS LMSW (CEO/PRESIDENT)
(443) 961-7523
Entity
Organization
Contact information
Practice address
3600 PULASKI HWY, BALTIMORE, MD 21224-1534
(443) 961-7523
Mailing address
3600 PULASKI HWY, BALTIMORE, MD 21224-1534
(443) 961-7523
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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