Healthcare Provider Details

I. General information

NPI: 1023975455
Provider Name (Legal Business Name): EYM WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9106 PHILADELPHIA RD STE 208
ROSEDALE MD
21237-4333
US

IV. Provider business mailing address

750 CONCOURSE CIR STE 103-203
MIDDLE RIVER MD
21220-2995
US

V. Phone/Fax

Practice location:
  • Phone: 301-244-0665
  • Fax: 301-381-9274
Mailing address:
  • Phone: 301-244-0665
  • Fax: 301-381-9274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: JULIANNE BRADY
Title or Position: CO-FOUNDER
Credential:
Phone: 301-452-5336