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
National Provider Directory
- Tax ID family
- Access to Wholistic and Productic Living Institute Inc
Locations
3611 43rd Ave
Colmar Manor, MD 20722
Phone (240) 264-0878
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator |
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
{
"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
- Georgette Nana Akua Adae-Mensah
- Chika Anyanwu
- Kofi Osei Ayim-Darko
- Rachelle Elaine Barrett Toman
- Aerielle Booker
All providers in Colmar Manor, MD · Case Management Agency in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.