Active NPI
WBMW Wellness Center LLC
- Psychiatric/Mental Health Nurse Practitioner
- Ellicott City, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- WBMW WELLNESS CENTER LLC
- Practice address
- 3459 Saint Johns LN Ste 4
Ellicott City, MD 21042-4025 - Phone
- (301) 909-8150
- Fax
- (301) 909-8151
- NPI assigned
- Apr 7, 2020
- 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
- Biliki S Douglas, PMHNP-BC
- Title
- President
- Phone
- (301) 909-8150
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
3459 Saint Johns LN Ste 4
Ellicott City, MD 21042-4025
Mailing address
3459 Saint Johns LN Ste 4
Ellicott City, MD 21042-4025
Phone (301) 909-8150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2192810 | WBMW Wellness Center LLC | Certificate of waiver | Apr 13, 2028 |
National Provider Directory
National Provider DirectoryLocations
5457 Twin Knolls Rd
Ste 300S2
Columbia, MD 21045
Phone (240) 593-3880
3459 Saint Johns Ln
Ste 4
Ellicott City, MD 21042
Phone (301) 909-8150
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
- Ellicott City, MD
- NPI 1801459193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749600000000",
"number": "1972132264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3459 SAINT JOHNS LN STE 4",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210424025",
"telephone_number": "301-909-8150",
"fax_number": "301-909-8151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3459 SAINT JOHNS LN STE 4",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210424025",
"telephone_number": "301-909-8150",
"fax_number": "301-909-8151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WBMW WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-07",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A",
"authorized_official_last_name": "DOUGLAS",
"authorized_official_first_name": "BILIKI",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-909-8150",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.