Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wellness Legacy LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1992433916

Wellness Legacy LLC is a Psychiatric/Mental Health Nurse Practitioner in Towson, Maryland. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1016 Dulaney Valley Rd
Towson, MD 21204-2702
Phone: (410) 286-1258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1992433916
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWellness Legacy LLC
Authorized official Mark Anthony Ison — Co -Owner · (410) 286-1258
Other names Wellness Legacy Llc
NPI enumeratedAugust 9, 2022
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024
Mailing address1539 Blakes Legacy Dr, Bel Air, MD 21014-1946

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