Healthcare Provider Details

I. General information

NPI: 1740141043
Provider Name (Legal Business Name): SHEDRICK FAMILY WELLNESS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

556 CYNWOOD DR STE C
EASTON MD
21601-3886
US

IV. Provider business mailing address

556 CYNWOOD DR STE C
EASTON MD
21601-3886
US

V. Phone/Fax

Practice location:
  • Phone: 667-810-6112
  • Fax:
Mailing address:
  • Phone: 667-810-6112
  • 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: BEATRICE SHEDRICK
Title or Position: OWNER/EXECUTIVE DIRECTOR
Credential:
Phone: 443-438-5612