NPIMap

Organization Active NPI

Healing Mind Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pikesville, MD
National Provider Identifier
1609464379
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HEALING MIND WELLNESS
Practice address
124 Slade Ave Ste 101
Pikesville, MD 21208-4900
Phone
(410) 452-4325
Fax
(443) 548-2800
NPI assigned
Jan 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Tywanna D Hamilton, CRNP
Title
Medical Directoe
Phone
(410) 452-4325

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

124 Slade Ave Ste 101
Pikesville, MD 21208-4900

Mailing address

124 Slade Ave Ste 101
Pikesville, MD 21208-4900
Phone (410) 452-4325

Other names 1

  • HEALING MIND WELLNESS Doing business as

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1609464379",
    "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",
            "fax_number": "443-548-2800"
        },
        {
            "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",
            "fax_number": "443-548-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING MIND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "TYWANNA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOE",
        "authorized_official_telephone_number": "410-452-4325",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALING MIND WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.