Organization
ELEMENTAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE CRAWFORD LCPC (OWNER)
(850) 339-1422
Entity
Organization
Contact information
Practice address
2304 HILLHOUSE RD, BALTIMORE, MD 21207-6627
(850) 339-1422
Mailing address
2304 HILLHOUSE RD, BALTIMORE, MD 21207-6627
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC8121
MD
101YM0800X
Mental Health Counselor
LC8121
MD
101YP2500X
Professional Counselor
Primary
LC8121
MD
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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