Active NPI
Healing Minds Wellness Center, LLC
- Substance Abuse Rehabilitation Facility
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- HEALING MINDS WELLNESS CENTER, LLC
- Practice address
- 3600 Pulaski Hwy
Baltimore, MD 21224-1534 - Phone
- (443) 869-3137
- NPI assigned
- Jan 11, 2022
- Last updated
- Jan 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kenyona Davis, LMSW
- Title
- Ceo
- Phone
- (202) 729-0018
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
3600 Pulaski Hwy
Baltimore, MD 21224-1534
Mailing address
1706 Maco Dr
Hanover, MD 21076-1399
Phone (202) 729-0018
National Provider Directory
National Provider Directory- Tax ID family
- Healing Minds Wellness Center LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Illness Community Based Residential Treatment Facility
- Baltimore, MD
- NPI 1285385351
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1295332351
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Social Worker
- Baltimore, MD
- NPI 1891138277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641859200000",
"number": "1831840909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 MACO DR",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761399",
"telephone_number": "202-729-0018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 PULASKI HWY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212241534",
"telephone_number": "443-869-3137"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING MINDS WELLNESS CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-11",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "KENYONA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "202-729-0018",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.