Healthcare Provider Details

I. General information

NPI: 1700708567
Provider Name (Legal Business Name): EXALTED SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 FEATHERSTONE CT
NOTTINGHAM MD
21236-2611
US

IV. Provider business mailing address

7 FEATHERSTONE CT
NOTTINGHAM MD
21236-2611
US

V. Phone/Fax

Practice location:
  • Phone: 443-801-0317
  • Fax:
Mailing address:
  • Phone: 443-801-0317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. ANTHONY L WIGGINS II
Title or Position: OWNER
Credential: LCSW-C
Phone: 443-801-0317