Healthcare Provider Details

I. General information

NPI: 1841006509
Provider Name (Legal Business Name): EXCEEDING WELLNESS AND SUPPORT SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2024
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 S EDGEWOOD ST STE 200
HALETHORPE MD
21227-1145
US

IV. Provider business mailing address

PO BOX 2531
ELLICOTT CITY MD
21041-2531
US

V. Phone/Fax

Practice location:
  • Phone: 443-961-4041
  • Fax: 410-483-7300
Mailing address:
  • Phone: 443-961-4041
  • Fax: 410-483-7300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: ODDY OKOJIE
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 443-961-4041