Healthcare Provider Details

I. General information

NPI: 1134061757
Provider Name (Legal Business Name): WOLEX BEHAVIORAL HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 N PROSPECT ST STE 105
HAGERSTOWN MD
21740-3779
US

IV. Provider business mailing address

223 N PROSPECT ST STE 105
HAGERSTOWN MD
21740-3779
US

V. Phone/Fax

Practice location:
  • Phone: 240-470-2463
  • Fax: 240-470-2463
Mailing address:
  • Phone: 240-470-2463
  • Fax: 240-470-2463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA MARIE FELTON
Title or Position: CEO
Credential:
Phone: 240-470-2463