# MARYLAND WELLNESS LLC

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

## Provider details

- **NPI number:** 1376407544
- **Authorized official:** SIERRA BURLEY (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (410) 732-0983

## Contact information

- **Practice address:** 1300 CARAWAY CT STE 207, UPPER MARLBORO, MD 20774-5462
- **Practice address phone:** (301) 429-6100
- **Practice address fax:** (301) 245-7556
- **Mailing address:** 4128 HAYWARD AVE STE W, BALTIMORE, MD 21215-4340
- **Mailing address phone:** (410) 314-1030
- **Mailing address fax:** (410) 205-1673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/12/2025
- **Last updated:** 12/12/2025