Organization
MIND BODY WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE SPARROW (THERAPIST)
(240) 899-2319
Entity
Organization
Contact information
Practice address
1205 ROCK HILL DR, FREDERICK, MD 21703-8428
(443) 574-4259
(410) 970-3012
Mailing address
PO BOX 234, FREDERICK, MD 21705-0234
(240) 899-2319
(410) 970-3012
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/10/2023
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