OrganizationActive
Holistic Wellness Services
NPI 1609587120 · Adult Mental Health Clinic/Center · Baltimore, MD
Provider details
- NPI number
- 1609587120
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Vickie Cooke, Ceo / Founder(443) 629-0646
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
3806 Ravenwood Ave
Baltimore, MD 21213-2022
Phone: (443) 629-0646
Street-level locationGet directions
Mailing address
Po Box 3394
Baltimore, MD 21213-0394
Registry dates
- Enumerated
- 2022-12-06
- Last updated
- 2022-12-06
- Certified
- 2022-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.