Provider Demographics
NPI:1952130072
Name:DREAM WORKS HEALTH AND WELLNESS, LLC
Entity type:Organization
Organization Name:DREAM WORKS HEALTH AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-885-4558
Mailing Address - Street 1:4701 BELAIR RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-5729
Mailing Address - Country:US
Mailing Address - Phone:410-885-4558
Mailing Address - Fax:
Practice Address - Street 1:4701 BELAIR RD
Practice Address - Street 2:1ST FLOOR FRONT
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21206-5729
Practice Address - Country:US
Practice Address - Phone:410-885-4558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DREAM WORKS HEALTH AND WELLNESS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-29
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)