Healthcare Provider Details

I. General information

NPI: 1972462372
Provider Name (Legal Business Name): HEALTHLINK WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 INGLESIDE AVE SUITE 202, 206 & 207
CATONSVILLE MD
21228-1726
US

IV. Provider business mailing address

715 INGLESIDE AVE STE 202 207
CATONSVILLE MD
21228-1726
US

V. Phone/Fax

Practice location:
  • Phone: 410-622-7011
  • Fax:
Mailing address:
  • Phone: 410-622-7011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: SIMONE PETERSON
Title or Position: EXECUTIVE DIRECTOR
Credential: BS
Phone: 410-218-3525