Provider Demographics
NPI:1669106506
Name:THE WELLNESS POD, LLC
Entity type:Organization
Organization Name:THE WELLNESS POD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:443-591-9557
Mailing Address - Street 1:9107 THISTLEDOWN RD APT 469
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-8259
Mailing Address - Country:US
Mailing Address - Phone:443-591-9557
Mailing Address - Fax:
Practice Address - Street 1:1800 N CHARLES ST STE 802
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-5999
Practice Address - Country:US
Practice Address - Phone:410-646-8874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health