Healthcare Provider Details
I. General information
NPI: 1316879414
Provider Name (Legal Business Name): P2H WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/02/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
25 CREAMERY LN
EASTON MD
21601-3137
US
IV. Provider business mailing address
25 CREAMERY LN
EASTON MD
21601-3137
US
V. Phone/Fax
- Phone: 570-244-7952
- Fax:
- Phone: 570-244-7952
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0405X |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
TERRY
DRAKE
Title or Position: DIRECTOR
Credential:
Phone: 570-244-7952