Healthcare Provider Details

I. General information

NPI: 1003769936
Provider Name (Legal Business Name): RWD WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2026
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

517 NORTON LN
ARNOLD MD
21012-2359
US

IV. Provider business mailing address

517 NORTON LN
ARNOLD MD
21012-2359
US

V. Phone/Fax

Practice location:
  • Phone: 410-608-3400
  • Fax:
Mailing address:
  • Phone: 410-608-3400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: RANDALL DUNKLE
Title or Position: OWNER
Credential: LPC
Phone: 410-608-3400