Healthcare Provider Details

I. General information

NPI: 1871427187
Provider Name (Legal Business Name): SAGE PSYCHIATRY & WELLNESS LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8338 TOWNSHIP DR
OWINGS MILLS MD
21117-5487
US

IV. Provider business mailing address

8338 TOWNSHIP DR
OWINGS MILLS MD
21117-5487
US

V. Phone/Fax

Practice location:
  • Phone: 443-622-0507
  • Fax:
Mailing address:
  • Phone: 443-622-0507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. SHEREZADE BRITTANY ALI
Title or Position: OWNER
Credential: PMHNP
Phone: 443-622-0507