Healthcare Provider Details

I. General information

NPI: 1669397311
Provider Name (Legal Business Name): NEW LEAF WELLNESS AND RECOVERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 W PENNSYLVANIA AVE STE 610
TOWSON MD
21204-5017
US

IV. Provider business mailing address

22 W PENNSYLVANIA AVE STE 610
TOWSON MD
21204-5017
US

V. Phone/Fax

Practice location:
  • Phone: 410-832-3203
  • Fax:
Mailing address:
  • Phone: 410-832-3203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MONTY WERTS
Title or Position: CEO
Credential:
Phone: 410-241-9302