Provider Demographics
NPI:1225703457
Name:SOUND WELLNESS BEHAVIORAL HEALTH CENTER INC
Entity Type:Organization
Organization Name:SOUND WELLNESS BEHAVIORAL HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:H
Authorized Official - Last Name:ALLIBALOGUN
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:443-379-4596
Mailing Address - Street 1:8890 MCDONOGH RD STE 301
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5397
Mailing Address - Country:US
Mailing Address - Phone:443-379-4596
Mailing Address - Fax:916-581-8678
Practice Address - Street 1:8890 MCDONOGH RD STE 301
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5397
Practice Address - Country:US
Practice Address - Phone:443-379-4596
Practice Address - Fax:916-581-8678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-10
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)