# KSTEWART BEAUTY AND WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KStewart Beauty and Wellness, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780371559
- **Authorized official:** MRS. MICHELLE GILLIAM (OWNER)
- **Authorized official phone:** (443) 963-1695

## Contact information

- **Practice address:** 1310 FLEET ST, BALTIMORE, MD 21202-4774
- **Practice address phone:** (443) 963-1659
- **Practice address fax:** (443) 817-0863
- **Mailing address:** 4617 MARIELLE DR, ROSEDALE, MD 21237-3747
- **Mailing address phone:** (443) 768-7882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/20/2023
- **Last updated:** 05/27/2025