Healthcare Provider Details

I. General information

NPI: 1184529406
Provider Name (Legal Business Name): HEALING JOURNEY WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N HOWARD ST LOWR LEVEL
BALTIMORE MD
21201-3601
US

IV. Provider business mailing address

401 N HOWARD ST LOWR LEVEL
BALTIMORE MD
21201-3601
US

V. Phone/Fax

Practice location:
  • Phone: 443-449-5797
  • Fax:
Mailing address:
  • Phone: 443-449-5797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: STACEY LADONN PURNELL
Title or Position: OWNER/EXECUTIVE DIRECTOR
Credential:
Phone: 443-449-5797