Provider Demographics
NPI:1497410385
Name:SOLID GROUND WELLNESS
Entity Type:Organization
Organization Name:SOLID GROUND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SEQUOYAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERRILL
Authorized Official - Suffix:
Authorized Official - Credentials:LCMFT
Authorized Official - Phone:443-860-2549
Mailing Address - Street 1:9175 GUILFORD RD STE 307
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-2567
Mailing Address - Country:US
Mailing Address - Phone:443-860-2549
Mailing Address - Fax:
Practice Address - Street 1:9175 GUILFORD RD STE 307
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2567
Practice Address - Country:US
Practice Address - Phone:443-860-2549
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOLID GORUND WELLNESS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty