Organization
WISE MIND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON T DAVIS LCSW-C (OWNER)
(410) 413-4108
Entity
Organization
Contact information
Practice address
10711 RED RUN BLVD STE 101, OWINGS MILLS, MD 21117-5138
(443) 492-8557
(410) 510-1505
Mailing address
10711 RED RUN BLVD STE 101, OWINGS MILLS, MD 21117-5138
(443) 492-8557
(410) 510-1505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/06/2017
Last updated
10/09/2025
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