# SAGE MENTAL WELLNESS

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

## Provider details

- **NPI number:** 1902475353
- **Authorized official:** AUDRA WORTHINGTON (OWNER)
- **Authorized official phone:** (240) 310-9961

## Contact information

- **Practice address:** 309 E PATRICK ST, FREDERICK, MD 21701-6792
- **Practice address phone:** (253) 355-5342
- **Mailing address:** 250 ANTIETAM DR, FALLING WATERS, WV 25419-4880
- **Mailing address phone:** (253) 355-5342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/21/2021
- **Last updated:** 05/31/2024