DIVINE BEAUTY & WELLNESS LLC NPI 1578062055

NPI Information

  • NPI: 1578062055
  • Provider Name: DIVINE BEAUTY & WELLNESS LLC
  • Classification: Specialist - 1744P3200X
  • Specialization: Prosthetics Case Management
  • Entity Type: Organization
  • Address: 6340 SECURITY BLVD STE 100
    BALTIMORE, MD
    ZIP 21207
  • Phone: (410) 304-3127

Map and Directions

Get Directions

NPI Details

DIVINE BEAUTY & WELLNESS LLC is a prosthetics case management specialist in Baltimore, MD. The provider is Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics. DIVINE BEAUTY & WELLNESS LLC NPI is 1578062055. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6340 SECURITY BLVD STE 100
BALTIMORE, MD
ZIP 21207-284
Phone: (410) 304-3127

The provider's authorized official is Tyrahna Jefferson .
The authorized official title is Ceo/owner and has the following contact phone number (410) 304-3127.

The enumeration date for this NPI number is 2/9/2018 and was last updated on 8/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1173C00000XReflexologistNo
21744P3200XSpecialistProsthetics Case ManagementYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.