# OMNIS HEALTH LIFE, LLC

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

## Provider details

- **NPI number:** 1922532217
- **Authorized official:** MR. RACHEL WILSON (CHAIRWOMAN)
- **Authorized official phone:** (678) 561-3037

## Contact information

- **Practice address:** 2200 GARRISON BLVD STE 100 200 300, BALTIMORE, MD 21216-2619
- **Practice address phone:** (667) 212-4187
- **Mailing address:** 2200 GARRISON BLVD, BALTIMORE, MD 21216-2619
- **Mailing address phone:** (667) 212-4187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 04/13/2017
- **Last updated:** 09/02/2025