Healthcare Provider Details

I. General information

NPI: 1114864691
Provider Name (Legal Business Name): HIGHSMITH WELLNESS AND CONSULTING L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2606 BEETHOVEN AVE
BALTIMORE MD
21207-6752
US

IV. Provider business mailing address

2606 BEETHOVEN AVE
BALTIMORE MD
21207-6752
US

V. Phone/Fax

Practice location:
  • Phone: 443-631-7554
  • Fax:
Mailing address:
  • Phone: 443-631-7554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: LAUREN HIGHSMITH
Title or Position: CLINICAL SOCIAL WORKER
Credential: LCSW-C
Phone: 443-631-7554