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NPI Code Detail

MEDICARE: ASPIRE WELLNESS CENTER, INC.

MEDICARE: ASPIRE WELLNESS CENTER, INC.
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 : 1649594557
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASPIRE WELLNESS CENTER, INC.
Provider Business Mailing Address
First Line : 5022 CAMPBELL BLVD STE L-M
Second Line :
City : NOTTINGHAM
State : MD
Zip : 21236-4969
Country : US
Telephone Number : 443-442-1568
Fax Number : 443-442-1569
Provider Business Practice Location Address
First Line : 5022 CAMPBELL BLVD STE L-M
Second Line :
City : NOTTINGHAM
State : MD
Zip : 21236-4969
Country : US
Telephone Number : 443-442-1568
Fax Number : 443-442-1569
Authorized Official
Title or Position : THERAPIST
Name : MISS LAUREL M. BALANDA
Credential : LCSW-C
Telephone Number : 443-442-1568
Provider Enumeration Date : 03/22/2010
Last Update Date : 07/21/2022

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Practice Fax: 443-442-1568

Directions to “ASPIRE WELLNESS CENTER, INC. ” Practice Location

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