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NPI 1841168614

NPI 1841168614 : HOLLAND WELLNESS CENTER LLC : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1841168614
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOLLAND WELLNESS CENTER LLC 
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Dates
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    Enumeration Date     |    10/24/2025
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    Last Update Date     |    10/24/2025
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Provider Practice Location Address
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    Address Line         |    2213 ASHBURTON ST 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21216-2910
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    Country              |    US
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    Telephone            |    410-499-1334
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1905 BLOOMINGDALE RD 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21216-3002
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    Country              |    US
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    Telephone            |    410-499-1334
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. ANGELA  NELSON 
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    Credential           |    
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    Telephone            |    410-499-1334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR0405X
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    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    
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