Provider Demographics
NPI:1801222740
Name:HARMONY POINT WELLNESS CENTER LLC
Entity type:Organization
Organization Name:HARMONY POINT WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:WATERS-WOODWARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:410-417-7259
Mailing Address - Street 1:502 WASHINGTON AVE STE 725
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-4121
Mailing Address - Country:US
Mailing Address - Phone:410-417-7259
Mailing Address - Fax:
Practice Address - Street 1:31 ALLEGHENY AVE STE 202
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204
Practice Address - Country:US
Practice Address - Phone:410-417-7259
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-24
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty