Community Wellness Outpatient Mental Health Center LLC
NPI 1114348463 · Mental Health Clinic/Center (Including Community Mental Health Center) · Baltimore, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1114348463
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Parent organization
- Freedom Healthcare LLC
- Organization subpart
- Yes
- Authorized official
- Vernon Holmes, Ceo(667) 309-9920
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
33 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Community Wellness Center
- Doing business as
- Community Wellness Outpatient Mental Health Center
Additional practice locations (32)
- 4301 Military Rd NwWashington, DC 20015-2136Phone: (301) 801-0787
- 30936 Manchester LnLaurel, DE 19956-3588Phone: (443) 783-4897
- 1723 Gwynns Falls PkwyBaltimore, MD 21217-2098Phone: (667) 309-9920
- 1820 Spence St OfcBaltimore, MD 21230-1351Phone: (443) 708-5056
- 1638 Ruxton Ave OfcBaltimore, MD 21216-3715Phone: (443) 708-0602
- 1450 Montpelier St OfcBaltimore, MD 21218-4852Phone: (443) 387-3819
- 3007 Rayner Ave OfcBaltimore, MD 21216-4612Phone: (443) 708-5056
- 819 N Fremont Ave Fl 2Baltimore, MD 21217-2552Phone: (443) 708-5056
- 3415 Holmes Ave Apt 1Baltimore, MD 21217-2067Phone: (443) 708-5056
Registry dates
- Enumerated
- 2014-01-03
- Last updated
- 2026-03-17
- Certified
- 2026-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.