# REACHING YOUR DESTINY WELLNESS CENTER LLC

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

## Provider details

- **NPI number:** 1437911336
- **Authorized official:** MS. DELISA PROCKS (PHD)
- **Authorized official phone:** (410) 999-9999

## Contact information

- **Practice address:** 4327 HARFORD RD STE 2, BALTIMORE, MD 21214-3184
- **Practice address phone:** (410) 999-9999
- **Mailing address:** 2206 WESTFIELD AVE, BALTIMORE, MD 21214-1050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 163WC0400X | Case Management Registered Nurse | — | NULL | — |
| 163WC0400X | Case Management Registered Nurse | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |
| 374J00000X | Doula | — | NULL | — |
| 374J00000X | Doula | — | — | — |

## Other

- **Enumeration date:** 01/25/2024
- **Last updated:** 10/23/2024