A Jewel of Wellness, LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Baltimore, MD
NPI 1215433784 · NPPES record last updated Apr 3, 2018
Key facts
- NPI
- 1215433784
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- A JEWEL OF WELLNESS, LLC
- Practice address
- 4915 Gilray Dr
Baltimore, MD 21214-2136 - Phone
- (443) 353-0306
- NPI assigned
- Apr 3, 2018
- Organization subpart
- No
Authorized official
- Name
- Ms. Latasha Wilson, LCSW-C
- Title
- Director
- Phone
- (443) 353-0306
Practitioners 1
-
Latasha Wilson, LCSW-C
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
4915 Gilray Dr
Baltimore, MD 21214-2136
Mailing address
4915 Gilray Dr
Baltimore, MD 21214-2136
Phone (443) 353-0306
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All providers in Baltimore, MD · Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.