Healthcare Provider Details

I. General information

NPI: 1376305870
Provider Name (Legal Business Name): VIRTUE HEALTH AND WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2024
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 N CHARLES ST
BALTIMORE MD
21201-4358
US

IV. Provider business mailing address

333 N CHARLES ST
BALTIMORE MD
21201-4358
US

V. Phone/Fax

Practice location:
  • Phone: 410-231-3229
  • Fax:
Mailing address:
  • Phone: 410-231-3229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. AFTAAN WHITE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 410-231-3229