Healthcare Provider Details
I. General information
NPI: 1689468407
Provider Name (Legal Business Name): ZORA MINDS & WELLNESS CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/07/2025
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9175 GUILFORD RD STE 300 #1016
COLUMBIA MD
21046-2565
US
IV. Provider business mailing address
9175 GUILFORD RD STE 300
COLUMBIA MD
21046-2565
US
V. Phone/Fax
- Phone: 240-813-0176
- Fax:
- Phone: 301-709-6975
- Fax: 301-235-2708
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WANDAYI
SOLANI
Title or Position: PSYCHIATRIC MENTAL HEALTH NP
Credential: NP/PMHNP
Phone: 301-213-1069