NPIMap

Organization Active NPI

M&T Wellness Fusion LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Reisterstown, MD
National Provider Identifier
1871308551
Registry record updated Feb 10, 2025
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
M&T WELLNESS FUSION LLC
Practice address
438 Main St
Reisterstown, MD 21136-1972
Phone
(800) 671-8193
NPI assigned
Feb 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Monet DuckettNPI 1225847114
Title
Cfo
Phone
(800) 671-8193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

438 Main St
Reisterstown, MD 21136-1972

Mailing address

5 Empire CT
Reisterstown, MD 21136-6410
Phone (443) 413-9989

Other names 1

  • M & T Wellness Fusion Service LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Mt Wellness Fusion LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

438 Main St
Reisterstown, MD 21136
Phone (800) 671-8193

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1871308551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EMPIRE CT",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211366410",
            "telephone_number": "443-413-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 MAIN ST",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361972",
            "telephone_number": "800-671-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&T WELLNESS FUSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "DUCKETT",
        "authorized_official_first_name": "MONET",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "800-671-8193"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M & T Wellness Fusion Service LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Reisterstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.