NPIMap

Organization Active NPI

Therapeutic Wellness Services Corp

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1003545401
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
THERAPEUTIC WELLNESS SERVICES CORP
Practice address
4100 Harris Ave
Baltimore, MD 21206-6349
Phone
(410) 665-3000
Fax
(410) 665-3001
NPI assigned
Jun 9, 2022
Organization subpart
Yes
Parent organization
THERAPETIC WELLNESS SERVICES CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Arteara J Watkins
Title
Ceo
Phone
(410) 665-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4100 Harris Ave
Baltimore, MD 21206-6349

Mailing address

6801 Belair Rd
Baltimore, MD 21206-1121
Phone (410) 665-3000

Other identifiers 1

IdentifierTypeStateIssuer
W19619980MedicaidMD

Other names 1

  • T.W.S Behavioral Healthcare LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Therapetic Wellness Services Corp18 organizations share this tax ID, including this one
Part of
Therapetic Wellness Services Corp

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1003545401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212061121",
            "telephone_number": "410-665-3000",
            "fax_number": "410-665-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 HARRIS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212066349",
            "telephone_number": "410-665-3000",
            "fax_number": "410-665-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC WELLNESS SERVICES CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THERAPETIC WELLNESS SERVICES CORP",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "ARTEARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-665-3000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W19619980",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T.W.S Behavioral Healthcare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.