MEDICARE: HALYARD BEHAVIORAL HEALTH & WELLNESS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	251S00000X	Community/Behavioral Health Agency
3	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1841125770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HALYARD BEHAVIORAL HEALTH & WELLNESS, PLLC

Provider Business Mailing Address
First Line	:	2415 MARYLAND AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21218-5017
Country	:	US
Telephone Number	:	443-708-4814
Fax Number	:	410-810-2176

Provider Business Practice Location Address
First Line	:	3921 OLD YORK RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21218-1910
Country	:	US
Telephone Number	:	443-708-4814
Fax Number	:	410-810-2176

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	TASHICA MONIQUE HALYARD
Credential	:
Telephone Number	:	281-508-3604

Provider Enumeration Date	:	06/13/2026
Last Update Date	:	06/13/2026

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