Provider Demographics
NPI:1396401253
Name:SEVEN WAYS WELLNESS
Entity type:Organization
Organization Name:SEVEN WAYS WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PSYCHOTHERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:IAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:443-878-9827
Mailing Address - Street 1:6517 PEBBLE BROOKE RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-3854
Mailing Address - Country:US
Mailing Address - Phone:443-878-9827
Mailing Address - Fax:443-898-9882
Practice Address - Street 1:6517 PEBBLE BROOKE RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-3854
Practice Address - Country:US
Practice Address - Phone:443-878-9827
Practice Address - Fax:443-898-9882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-15
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health