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NPI Code Detail

MEDICARE: WELLNESS RX CORPORATION

MEDICARE: WELLNESS RX CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1326605858
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLNESS RX CORPORATION
Provider Business Mailing Address
First Line : 300 E LOMBARD ST STE 1700
Second Line :
City : BALTIMORE
State : MD
Zip : 21202-3243
Country : US
Telephone Number : 410-227-9426
Fax Number :
Provider Business Practice Location Address
First Line : 7310 RITCHIE HWY STE 100
Second Line :
City : GLEN BURNIE
State : MD
Zip : 21061-3170
Country : US
Telephone Number : 410-424-5040
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : LAUREN HERRON
Credential : LCSW-C
Telephone Number : 410-227-9426
Provider Enumeration Date : 05/21/2019
Last Update Date : 12/29/2023

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Directions to “WELLNESS RX CORPORATION ” Practice Location

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