Provider Demographics
NPI:1184442378
Name:SALTY SOLUTIONS
Entity type:Organization
Organization Name:SALTY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MENTAL HEALTH CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:MILLS
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:LGPC
Authorized Official - Phone:443-614-2281
Mailing Address - Street 1:10610 SIREN LN
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-2793
Mailing Address - Country:US
Mailing Address - Phone:410-726-5693
Mailing Address - Fax:
Practice Address - Street 1:10610 SIREN LN
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-2793
Practice Address - Country:US
Practice Address - Phone:443-614-2281
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health