Healthcare Provider Details

I. General information

NPI: 1366280992
Provider Name (Legal Business Name): M L WALKER BEHAVIOR HEALTH & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2024
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1451 ROCKVILLE PIKE STE 2-251
ROCKVILLE MD
20852-1486
US

IV. Provider business mailing address

9080 MCPHERSON ST
FREDERICK MD
21704-7860
US

V. Phone/Fax

Practice location:
  • Phone: 240-673-3901
  • Fax: 240-252-3520
Mailing address:
  • Phone: 240-673-3901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DAWN JENKINS
Title or Position: OWNER
Credential:
Phone: 240-673-3901