Refresh Pain and Wellness, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

REFRESH PAIN AND WELLNESS, LLC

Practice address

4200 Edmondson Ave Ste 205
Baltimore, MD 21229-1614

Phone

(443) 893-3808

NPI assigned

Mar 25, 2021

Organization subpart

No

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

Authorized official

Name

Shada Harris

Title

Owner

Phone

(410) 940-9757

Specialties & licenses 1

Addresses

Tax ID family

Refresh Pain and Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Refresh Pain and Wellness, LLC

  • Family Medicine Physician
  • Gwynn Oak, MD
  • NPI 1669095402
  NPD tax ID

Locations

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1124605134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6314 WINDSOR MILL RD STE 100",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212076078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 EDMONDSON AVE STE 205",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291614",
            "telephone_number": "443-893-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFRESH PAIN AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "SHADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-940-9757"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Refined Life Solutions LLC
• Reflections Behavioral Health
• Reflections Behavioral Health, LLC
• Reflections Recovery Program
• Reforming Lives
• Refresh Recovery Center
• Refua Pharmacy and Medical Supply Inc
• Regain Hope LLC.
• Regain Hope LLC.
• Regain Hope LLC.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.