# PAIN & WELLNESS THERAPIES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Pain & Wellness Therapies, Pain & Wellness Therapies
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316413222
- **Authorized official:** MS. LESLIE OGBEBOR AGACNP-BC (NURSE PRACTITIONER)
- **Authorized official phone:** (301) 592-7642

## Contact information

- **Practice address:** 2300 GARRISON BLVD STE 200, BALTIMORE, MD 21216-2309
- **Practice address phone:** (301) 592-7642
- **Mailing address:** PO BOX 688, JESSUP, MD 20794-0688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QI0500X | Infusion Therapy Clinic/Center | — | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2018
- **Last updated:** 04/10/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1851637094 | — | MD |
| 05 | — | 1922502319 | — | MD |