MEDICARE: HOPE WELLNESS GROUP

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

General Provider Information

NPI Number	:	1629906813
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE WELLNESS GROUP

Provider Business Mailing Address
First Line	:	349 E PULASKI HWY
Second Line	:
City	:	ELKTON
State	:	MD
Zip	:	21921-6747
Country	:	US
Telephone Number	:	253-886-7324
Fax Number	:

Provider Business Practice Location Address
First Line	:	349 E PULASKI HWY
Second Line	:
City	:	ELKTON
State	:	MD
Zip	:	21921-6747
Country	:	US
Telephone Number	:	253-886-7324
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PROGRAM DIRECTOR
Name	:	ESPERANZA BALLENILLA
Credential	:	LCSW-C
Telephone Number	:	253-886-7324

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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