Provider Demographics
NPI:1659056893
Name:STRATEGIC WELLNESS ADVOCATES LLC
Entity Type:Organization
Organization Name:STRATEGIC WELLNESS ADVOCATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SONNY
Authorized Official - Middle Name:IMOUDU
Authorized Official - Last Name:EDWARDS-SALIU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-869-3660
Mailing Address - Street 1:2901 DRUID PARK DR STE 303ABC
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-8102
Mailing Address - Country:US
Mailing Address - Phone:443-869-3660
Mailing Address - Fax:202-919-3040
Practice Address - Street 1:2901 DRUID PARK DR STE 303AB&C
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-8102
Practice Address - Country:US
Practice Address - Phone:202-669-6848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-15
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)