Healing Mind Wellness LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HEALING MIND WELLNESS LLC

Practice address

124 Slade Ave Ste 101
Pikesville, MD 21208-4900

Phone

(410) 452-4325

NPI assigned

Apr 8, 2021

Last updated

Feb 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tywanna D Hamilton, CRNPNPI 1487070868

Title

Medical Director

Phone

(410) 452-4325

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Tax ID family

Healing Mind Wellness4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Healing Mind Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Largo, MD
  • NPI 1184213258
  NPD tax ID
• Healing Mind Wellness

  • Community/Behavioral Health Agency
  • Largo, MD
  • NPI 1588244016
  NPD tax ID
• Healing Mind Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pikesville, MD
  • NPI 1609464379
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tywanna Hamilton, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hanover, MD
  • NPI 1487070868

  DC

  Medicare reassignment NPD Authorized official
• Joshua Marshall Gochnauer, MPT

  • Physical Therapist
  • Baltimore, MD
  • NPI 1356360291
  NPD (past)

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1598345241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SLADE AVE STE 101",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084900",
            "telephone_number": "410-452-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SLADE AVE STE 101",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084900",
            "telephone_number": "410-452-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING MIND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "TYWANNA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-452-4325",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PIKESVILLE",
            "affiliation": "N",
            "address_1": "124 Slade Ave Ste 101",
            "city": "Pikesville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212084900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kashif Haylett
• Becki Ilene Hayman
• Healing Hands Wound Care & Surgery LLC
• Healing Horizons Behavorial Health
• Healing Mind Wellness
• Healing Sources LLC
• Health Rite Pharmacy & Medical Supply Inc (Health Rite Pharmacy & Medical Supply)
• Heart of Gold Support Services Inc
• Yehoshua Hecht, LMSW
• Heitt Clinical and Corporate Consulting, LLC

• Community/Behavioral Health Agency in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.