Provider Demographics
NPI:1235727629
Name:TUNING IN WELLNESS. LLC
Entity Type:Organization
Organization Name:TUNING IN WELLNESS. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SMITH
Authorized Official - Middle Name:EMILY
Authorized Official - Last Name:BROADWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:443-230-7495
Mailing Address - Street 1:914 BAY RIDGE RD STE 210
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21403-3994
Mailing Address - Country:US
Mailing Address - Phone:443-230-4347
Mailing Address - Fax:
Practice Address - Street 1:914 BAY RIDGE RD STE 210
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21403-3994
Practice Address - Country:US
Practice Address - Phone:443-230-4347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-02
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1598299752Medicaid