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NPI Code Detail

MEDICARE: THE HEALING STORM HOLISTIC WELLNESS, LLC

MEDICARE: THE HEALING STORM HOLISTIC WELLNESS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist

General Provider Information

NPI Number : 1164388468
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE HEALING STORM HOLISTIC WELLNESS, LLC
Provider Business Mailing Address
First Line : 801 TOLL HOUSE AVE STE A3
Second Line :
City : FREDERICK
State : MD
Zip : 21701-6110
Country : US
Telephone Number : 240-394-6046
Fax Number :
Provider Business Practice Location Address
First Line : 801 TOLL HOUSE AVE STE A3
Second Line :
City : FREDERICK
State : MD
Zip : 21701-6110
Country : US
Telephone Number : 240-394-6046
Fax Number :
Authorized Official
Title or Position : OWNER/PRACTITIONER
Name : MS. CHANIN STORM
Credential : LMT
Telephone Number : 240-394-6046
Provider Enumeration Date : 12/30/2025
Last Update Date : 12/30/2025

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Directions to “THE HEALING STORM HOLISTIC WELLNESS, LLC ” Practice Location

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