Organization
BON RIDGE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. QUIZZINA FORNEY LCSW-C (OWNER)
(443) 629-2424
Entity
Organization
Contact information
Practice address
2500 N ROLLING RD STE 102, WINDSOR MILL, MD 21244-1999
(301) 571-7200
Mailing address
8503 GREENS LN, WINDSOR MILL, MD 21244-1124
(443) 629-2424
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
12/21/2022
Last updated
07/16/2025
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