Organization
HEALING MINDS WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KENYONA DAVIS LMSW (CEO)
(202) 729-0018
Entity
Organization
Contact information
Practice address
3600 PULASKI HWY, BALTIMORE, MD 21224-1534
(202) 729-0018
Mailing address
1706 MACO DR, HANOVER, MD 21076-1399
(202) 729-0018
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
444622400
—
MD
Enumeration date
01/11/2022
Last updated
01/11/2022
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