OrganizationActive
State of Wellness Inc.
NPI 1407398399 · Local Education Agency (LEA) · Columbia, MD
Provider details
- NPI number
- 1407398399
- Entity type
- Organization
- Primary specialty
- Local Education Agency (LEA)Agencies
- Organization subpart
- No
- Authorized official
- Michaela Conley, Executive Director(410) 715-2268
Specialties & taxonomies
Agencies
Practice location
9622 Basket Ring Road
Columbia, MD 21045
Phone: (410) 715-2268
Approximate (ZIP-level) locationGet directions
Mailing address
9622 Basket Ring Rd
Columbia, MD 21045-3418
Other names (DBA / former)
- Former legal business name
- State of Wellness
Registry dates
- Enumerated
- 2016-11-09
- Last updated
- 2016-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.