MEDICARE: THERAPEUTIC WELLNESS SERVICES

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
1	251S00000X	Community/Behavioral Health Agency		MD
2	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255849394
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPEUTIC WELLNESS SERVICES

Provider Business Mailing Address
First Line	:	4909 LIBERTY HEIGHTS AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21207
Country	:	US
Telephone Number	:	443-934-2320
Fax Number	:

Provider Business Practice Location Address
First Line	:	4909 LIBERTY HEIGHTS AVE FL 2
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21207-8235
Country	:	US
Telephone Number	:	410-466-0127
Fax Number	:	410-466-0136

Authorized Official
Title or Position	:	CEO
Name	:	ARTEARA J WATKINS
Credential	:
Telephone Number	:	443-934-2320

Provider Enumeration Date	:	01/10/2018
Last Update Date	:	02/11/2025

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Directions to “THERAPEUTIC WELLNESS SERVICES ” Practice Location

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