Organization
MARYLAND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SIERRA BURLEY (CREDENTIALING SPECIALIST)
(410) 314-1030
Entity
Organization
Contact information
Practice address
4128 HAYWARD AVE, BALTIMORE, MD 21215-4340
(410) 314-1030
(410) 314-1030
Mailing address
4128 HAYWARD AVE, BALTIMORE, MD 21215-4340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/01/2023
Last updated
04/16/2025
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