State of Wellness Inc.

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

STATE OF WELLNESS INC.

Practice address

9622 Basket Ring Road
Columbia, MD 21045

Phone

(410) 715-2268

NPI assigned

Nov 9, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Michaela Conley, MCHES

Title

Executive Director

Phone

(410) 715-2268

Specialties & licenses 1

Addresses

Other names 1

• State of Wellness Former legal business name

Tax ID family

State of Wellness2 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.

• State of Wellness, Inc

  • Health Educator
  • Columbia, MD
  • NPI 1700241577
  NPD tax ID

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1407398399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9622 BASKET RING RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453418",
            "telephone_number": "410-715-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9622 BASKET RING ROAD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21045",
            "telephone_number": "410-715-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-715-2268",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MCHES"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "State of Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Leslie Shier Stanley, BCBA
• Starcare ABA Therapy MD LLC
• Tara C Stark, RN
• Syreeta Lenae Starnes, M.S.N PHN RN
• Starr Behavioral Services Corp
• State of Wellness, Inc
• Jennifer Staten
• Tiara Staton, PTA
• Stats Medical Supplies & Equipment
• Heather McBee Stauder, R.N.

• Local Education Agency (LEA) in Columbia, MD
• Providers in Columbia, MD by specialty
• Local Education Agency (LEA) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.