Healthcare Provider Details

I. General information

NPI: 1518870856
Provider Name (Legal Business Name): JOFE WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7108 WARDMAN RD
BALTIMORE MD
21212-1638
US

IV. Provider business mailing address

7108 WARDMAN RD
BALTIMORE MD
21212-1638
US

V. Phone/Fax

Practice location:
  • Phone: 512-633-7426
  • Fax:
Mailing address:
  • Phone: 512-633-7426
  • 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: JODI WINOGRAD SCHULEMAN
Title or Position: THERAPIST
Credential: MD
Phone: 512-633-7426