NPIMap

Organization Active NPI

Mindful Healing Works Wellness Center, LLC

  • Mental Health Counselor
  • Dundalk, MD
National Provider Identifier
1083178586
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINDFUL HEALING WORKS WELLNESS CENTER, LLC
Practice address
1576 Merritt Blvd Ste 8
Dundalk, MD 21222-2114
Phone
(443) 530-6533
Fax
(443) 530-6996
NPI assigned
Jan 29, 2019
Organization subpart
Yes
Parent organization
MINDFUL HEALING WORKS WELLNESS CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Rose Lynch
Title
Billing Director
Phone
(401) 649-5754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1576 Merritt Blvd Ste 8
Dundalk, MD 21222-2114

Mailing address

750 Concourse Cir Ste 103-203
Middle River, MD 21220-2995
Phone (443) 530-6533

Other names 1

  • Mindful Healing Works Wellness Center PRP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mindful Healing Works Wellness Center Iop8 organizations share this tax ID, including this one
Part of
Mindful Healing Works Wellness Center Iop

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1083178586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 CONCOURSE CIR STE 103-203",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202995",
            "telephone_number": "443-530-6533",
            "fax_number": "443-503-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 MERRITT BLVD STE 8",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212222114",
            "telephone_number": "443-530-6533",
            "fax_number": "443-530-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HEALING WORKS WELLNESS CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINDFUL HEALING WORKS WELLNESS CENTER, LLC",
        "enumeration_date": "2019-01-29",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "401-649-5754"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Healing Works Wellness Center PRP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dundalk, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.