Healthcare Provider Details

I. General information

NPI: 1124990445
Provider Name (Legal Business Name): WHOLE PERSON WELLNESS AND INTEGRATIVE PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N HAVEN ST STE 301
BALTIMORE MD
21224-1634
US

IV. Provider business mailing address

101 N HAVEN ST STE 301
BALTIMORE MD
21224-1634
US

V. Phone/Fax

Practice location:
  • Phone: 410-604-8672
  • Fax: 443-457-2583
Mailing address:
  • Phone: 302-496-3977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DEANNA LUNN
Title or Position: PMHNP
Credential: NP
Phone: 302-259-9962