Healthcare Provider Details
I. General information
NPI: 1316636889
Provider Name (Legal Business Name): ENJOY WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/02/2023
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
138 CATHEDRAL ST
ELKTON MD
21921-5568
US
IV. Provider business mailing address
20 ROLLING GREEN LN
ELKTON MD
21921-2405
US
V. Phone/Fax
- Phone: 443-372-8226
- Fax: 443-372-8283
- Phone: 302-561-4494
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOYCE
BILSKI
Title or Position: OWNER
Credential: CRNP-PMH
Phone: 302-561-4494