Access to Wholistic and Productive Living Inc.

Organization Active NPI Case Management Agency · Colmar Manor, MD

NPI 1013782713 · NPPES record last updated Nov 22, 2023

Key facts

NPI
1013782713
Entity type
Organization (NPI type 2)
Primary specialty
Case Management Agency 251B00000X
Legal business name
ACCESS TO WHOLISTIC AND PRODUCTIVE LIVING INC.
Practice address
3611 43Rd Ave.
Colmar Manor, MD 20722
Phone
(240) 264-0878
NPI assigned
Nov 22, 2023
Organization subpart
No

Authorized official

Name
Dr. Bettye Muwwakkil
Title
Ceo
Phone
(240) 264-0878

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Access to Wholistic and Productic Living Institute Inc (3 organizations share this tax ID)

Locations

3611 43rd Ave
Colmar Manor, MD 20722
Phone (240) 264-0878

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator
Group: 193400000X SINGLE SPECIALTY GROUP
174H00000X
Case Management Agency 251B00000X Yes

Addresses

Primary practice location

3611 43Rd Ave.
Colmar Manor, MD 20722

Mailing address

3611 43Rd Ave.
Colmar Manor, MD 20722
Phone (240) 264-0878

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 22, 2023.

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1013782713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 43RD AVE.",
            "city": "COLMAR MANOR",
            "state": "MD",
            "postal_code": "20722",
            "telephone_number": "240-264-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 43RD AVE.",
            "city": "COLMAR MANOR",
            "state": "MD",
            "postal_code": "20722",
            "telephone_number": "240-264-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS TO WHOLISTIC AND PRODUCTIVE LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "MUWWAKKIL",
        "authorized_official_first_name": "BETTYE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-264-0878",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colmar Manor, MD

All providers in Colmar Manor, MD · Case Management Agency in Maryland

Sources for this page

Verify at the official NPI Registry.