Healthcare Provider Details

I. General information

NPI: 1578473724
Provider Name (Legal Business Name): ENHANCING WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 BROAD ST STE 1
BERLIN MD
21811-1019
US

IV. Provider business mailing address

116 BROAD ST STE 1
BERLIN MD
21811-1019
US

V. Phone/Fax

Practice location:
  • Phone: 410-641-9888
  • Fax: 410-641-9844
Mailing address:
  • Phone: 410-641-9888
  • Fax: 410-641-9844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER HICKMAN
Title or Position: OWNER/PRACTITIONER
Credential: LAC
Phone: 410-641-9888