MEDICARE: PEONY MENTAL 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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1487599916
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEONY MENTAL WELLNESS LLC

Provider Business Mailing Address
First Line	:	4380B MONTGOMERY RD STE 1028
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-6006
Country	:	US
Telephone Number	:	443-776-2131
Fax Number	:

Provider Business Practice Location Address
First Line	:	5223 ILCHESTER RD
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-7041
Country	:	US
Telephone Number	:	443-791-6325
Fax Number	:

Authorized Official
Title or Position	:	TREASURER
Name	:	STEVEN REGISTER
Credential	:
Telephone Number	:	443-791-6325

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	06/10/2026

Similar Medicare Providers

1396390167 — LINH VAN REGISTER
Practice Location Address:

5223 ILCHESTER RD
ELLICOTT CITY, MD
21043-7041

Practice Phone: 410-738-3537
Practice Fax:

1063344869 — NORTHERN EMBERS MENTAL HEALTH LLC.
Practice Location Address:

4020 COPPER VW STE 104F
TRAVERSE CITY, MI
49684-7041

Practice Phone: 231-714-4442
Practice Fax:

1265517494 — MARYLEE PAKIESER FNP
Practice Location Address:

4020 COPPER VW STE 104
TRAVERSE CITY, MI
49684-7041

Practice Phone: 231-421-6921
Practice Fax:

1740358209 — VEIN CENTER AND MEDICAL SPA
Practice Location Address:

4020 COPPER VW STE 212
TRAVERSE CITY, MI
49684-7041

Practice Phone: 231-941-7500
Practice Fax: 231-941-7509

1356494710 — DR. KYLE REECE VER STEEG II MD
Practice Location Address:

4020 COPPER VW STE 122
TRAVERSE CITY, MI
49684-7041

Practice Phone: 231-943-1712
Practice Fax: 231-668-4038

1821276221 — RONALD R LINTS DDS, MS, PC
Practice Location Address:

4020 COPPER VW STE 240
TRAVERSE CITY, MI
49684-7041

Practice Phone: 231-922-7210
Practice Fax: 231-922-9144

Directions to “PEONY MENTAL WELLNESS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.