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NPI Code Detail

MEDICARE: MARYBIRD WELLNESS PARTNERS

MEDICARE: MARYBIRD WELLNESS PARTNERS
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1215882063
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARYBIRD WELLNESS PARTNERS
Provider Business Mailing Address
First Line : 20 E CHURCH ST STE 403
Second Line :
City : MARTINSVILLE
State : VA
Zip : 24112-6208
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 20 E CHURCH ST STE 403
Second Line :
City : MARTINSVILLE
State : VA
Zip : 24112-6208
Country : US
Telephone Number : 443-469-0291
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KRYSTAL HAMPTON
Credential :
Telephone Number : 443-469-0291
Provider Enumeration Date : 02/26/2026
Last Update Date : 03/03/2026

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Directions to “MARYBIRD WELLNESS PARTNERS ” Practice Location

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