Healthcare Provider Details

I. General information

NPI: 1801222740
Provider Name (Legal Business Name): HARMONY POINT WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2013
Last Update Date: 07/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 ALLEGHENY AVE STE 202
TOWSON MD
21204
US

IV. Provider business mailing address

502 WASHINGTON AVE STE 725
TOWSON MD
21204-4121
US

V. Phone/Fax

Practice location:
  • Phone: 410-417-7259
  • Fax:
Mailing address:
  • Phone: 410-417-7259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. CANDACE WATERS-WOODWARD
Title or Position: THERAPIST
Credential: LCPC
Phone: 410-417-7259