Healthcare Provider Details

I. General information

NPI: 1528980091
Provider Name (Legal Business Name): LUVINTEGRATED MENTAL HEALTH & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1709 CEDAR ST
POCOMOKE CITY MD
21851-9504
US

IV. Provider business mailing address

PO BOX 171
POCOMOKE CITY MD
21851-0171
US

V. Phone/Fax

Practice location:
  • Phone: 410-994-7704
  • Fax:
Mailing address:
  • Phone: 410-994-7704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. RONNIE M CLARK
Title or Position: CEO
Credential: PMHNP
Phone: 443-497-8818