WISE MIND, LLC (NPI# 1275054793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275054793 |
| Entity Type | Organization |
| Organization Name | WISE MIND, LLC |
| Practice Address |
2300 Garrison Blvd Ste 210 Baltimore MD 21216-2309 |
| Practice Telephone | 4433783154 |
| Mailing Telephone | 4433783154 |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2019-08-08 |
| Authorized Official Name | SHARON T HOLLAND (CEO/THERAPIST) |
| Authorized Official Telephone | 4433783154 |
| Authorized Official Credential | LCSW-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 516 N Rolling Rd Ste 305, Catonsville, MD 212284142 | (443) 584-6187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295375889 | Wise Mind, LLC | Counselor | 2814 S Grand Blvd, Spokane, WA 99203-2528 | 2020-01-10 |
| Street Address |
2300 GARRISON BLVD STE 210 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21216-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609227073 | Latisha S Christensen | Social Worker | 2300 Garrison Blvd Ste 210, Baltimore, MD 21216-2309 | 2016-06-28 |
| 1750870804 | Embracing Changez, LLC | Rehabilitation Counselor | 2300 Garrison Blvd Ste 210, Baltimore, MD 21216-2309 | 2018-05-04 |
| 1407363427 | Brittany Duke | Social Worker | 2300 Garrison Blvd Ste 210, Baltimore, MD 21216-2309 | 2017-12-29 |
| 1588107296 | Money Talks Baltimore, LLC | Counselor | 2300 Garrison Blvd Ste 210, Baltimore, MD 21216-2309 | 2016-11-29 |
| 1902358070 | Sharon T Davis | Social Worker | 2300 Garrison Blvd Ste 210, Baltimore, MD 21216-2309 | 2016-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279343 | Matanmi Olusesan Kuforiji | Social Worker | 2300 Garrison Boulevard Suite 101, Baltimore, MD 21216 | 2019-05-02 |
| 1003389602 | Michelle Antoinette Goines | Social Worker | 1522 N Ellamont St, Baltimore, MD 21216 | 2019-01-07 |
| 1780178764 | Lifespring Laboratories | Clinical Medical Laboratory | 2200 Garrison Blvd Ste 3013, Baltimore, MD 21216 | 2018-06-21 |
| 1467980896 | Patricia Ann Harriott | Counselor | 3312alto Rd., Baltimore, MD 21216 | 2017-05-30 |
| 1538549209 | Baltimore Podiatry Group, Dr. Benjamin Kleinman, P.a. | Durable Medical Equipment & Medical Supplies | 2300 Garrison Blvd., Suite 105, Baltimore, MD 21216 | 2015-06-08 |
| 1649461500 | Issac Corrette Evans Jr. | Adult Companion | 2810 Harlem Ave, Baltimore, MD 21216 | 2007-08-06 |
| 1396824959 | Linda S Miles | Dentist | 4155 Patterson Ave, Baltimore, MD 21216 | 2006-11-03 |
| 1902913197 | Miriam W Ingram | Nurse Practitioner | 3102 N Hilton Street, Baltimore, MD 21216 | 2006-08-24 |
| 1326065905 | Linda P Weisburger | Nurse Practitioner | 2001 N Warwick Ave, Baltimore, MD 21216 | 2006-07-17 |
| 1972502680 | Shavon Trenice Darden | Nurse Practitioner | 2601 W North Ave, Hhsb Suite 131, Baltimore, MD 21216 | 2005-07-15 |
| Find all providers in zip 21216 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724513 | S and S Properties 3 | Clinic/Center | 6122 Reisterstown Rd, Baltimore, MD 21215-3423 | 2020-09-11 |
| 1205440195 | Kevin Eugene Harvell | Clinic/Center | 3435 Greenmount Ave Ste 1, Baltimore, MD 21218-2942 | 2020-09-08 |
| 1720627581 | Johns Hopkins Bayview Medical Center, Inc. | Clinic/Center | 5500 East Lombard Street, Room 1025, Baltimore, MD 21224 | 2019-12-27 |
| 1437714862 | Bolton Therapy & Wellness | Clinic/Center | 1534 Bolton St Ste 1, Baltimore, MD 21217-4203 | 2019-05-01 |
| 1659883304 | Clear Horizons | Clinic/Center | 2317 W Patapsco Ave, Baltimore, MD 21230-2815 | 2017-11-02 |
| 1841702321 | Maryland Children's Institute, Inc. | Clinic/Center | 859 1/2 N Howard St Fl 1, Baltimore, MD 21201-4696 | 2017-10-24 |
| 1477064251 | Helping Our Youth Achieve Psychiatric Rehabilitation Program | Clinic/Center | 5525 Belair Rd, Baltimore, MD 21206-3654 | 2017-10-19 |
| 1467973149 | Thor Learning Center | Clinic/Center | 4640 Edmondson Ave Fl 1, Baltimore, MD 21229-1407 | 2017-07-03 |
| 1144693540 | Akila Cares, LLC | Clinic/Center | 5160 Baltimore National Pike, Baltimore, MD 21229-1121 | 2015-11-06 |
| 1326416629 | Associated Catholic Charities | Clinic/Center | 606 Cherry Hill Rd, Suite 200, Baltimore, MD 21225-2012 | 2015-09-03 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on WISE MIND, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.