Charm City Wellness Collaborative, Llc

LBN: Charm City Wellness Collaborative, Llc
Charm City Wellness Collaborative, Llc is an health care organization with primary practice located at 612 Saint Dunstans Rd , Baltimore MD 21212-3736. The organization recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Lactation Consultant, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Charm City Wellness Collaborative, Llc can be contacted via phone (443) 377-3237, or through Haber, Mk via phone (410) 456-6315.

Contact Information

Primary practice address
612 Saint Dunstans Rd Baltimore MD 21212-3736
Phone: (443) 377-3237
Fax: (410) 226-7037
Website:
Map and Directions
Authorized official contact:
Name: Haber, Mk NP, IBCLC
Phone: (410) 456-6315

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Lactation Consultant 163WL0100X
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X

Profile Details

NPI number 1649046814
LBN Legal business name Charm City Wellness Collaborative, Llc
DBA Doing business as
Authorized official Haber, Mk NP, IBCLC
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2023
Last updated Nov 29th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649046814 NPPES
Maryland MEDICAID 112778100

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