ADDICTION WELLNESS CENTER LLC is an adult health nurse practitioner in Quantico, MD. ADDICTION WELLNESS CENTER LLC NPI is 1912760877. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
5438 SANDY HILL RD STE A QUANTICO, MD ZIP 21856-100 Phone: (443) 547-2964
The provider's authorized official is Jessie Costley . The authorized official title is Credentialing Specialist and has the following contact phone number (443) 839-6928.
The enumeration date for this NPI number is 2/2/2024 and was last updated on 2/28/2025.
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:
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
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: 11/21/2025
NPI Synchronization or Removal
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