OrganizationActive
Maryland Wellness LLC
NPI 1760065643 · Mental Health Clinic/Center (Including Community Mental Health Center) · Hampstead, MD
Provider details
- NPI number
- 1760065643
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Parent organization
- Maryland Wellness LLC
- Organization subpart
- Yes
- Authorized official
- Sierra Burley, Credentialing Specialist(410) 314-1030
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
4500 Black Rock Rd # G2
Hampstead, MD 21074-2636
Phone: (410) 241-6317
Street-level locationGet directions
Mailing address
4128 Hayward Ave # W
Baltimore, MD 21215-4340
Registry dates
- Enumerated
- 2021-04-29
- Last updated
- 2025-04-16
- Certified
- 2025-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.