WBMW WELLNESS CENTER LLC NPI 1972132264

NPI Information

NPI: 1972132264
Provider Name: WBMW WELLNESS CENTER LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 21D2192810

Address:
5457 TWIN KNOLLS RD STE 300
COLUMBIA, MD
ZIP 21045
Phone: (443) 741-1155
Get Directions

WBMW WELLNESS CENTER LLC is a psychiatric/mental health nurse practitioner in Columbia, MD. WBMW WELLNESS CENTER LLC NPI is 1972132264. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5457 TWIN KNOLLS RD STE 300
COLUMBIA, MD
ZIP 21045-296
Phone: (443) 741-1155

The provider's authorized official is Biliki S Douglas .
The authorized official title is President and has the following contact phone number (443) 741-1155.

The CLIA number assigned to this NPI record is 21D2192810 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2020 and was last updated on 7/9/2020.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

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: 11/14/2023

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.

« Previous NPI

Next NPI »