Healthcare Provider Details

I. General information

NPI: 1396530366
Provider Name (Legal Business Name): DIMENSIONS WELLNESS II LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2025
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7610 PENNSLYVANIA AVE 307
FORESTVILLE MD
20747
US

IV. Provider business mailing address

7610 PENNSLYVANIA AVENUE 307
FORESTVILLE MD
20747
US

V. Phone/Fax

Practice location:
  • Phone: 301-201-0698
  • Fax:
Mailing address:
  • Phone: 301-201-0698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PAULA MARIE YOUNG
Title or Position: MANAGER
Credential: NP
Phone: 301-821-1532