Wholistic Wellness Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WHOLISTIC WELLNESS CENTER

Practice address

12014 Crestwood Ave S
Brandywine, MD 20613-7640

Phone

(240) 299-5985

NPI assigned

Jul 17, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tameka Price, LCSW-C

Title

Co-Ceo

Phone

(240) 299-5985

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiara Williams, LMSW

  • Mental Health Counselor
  • Upper Marlboro, MD
  • NPI 1548747769
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1326524943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12014 CRESTWOOD AVE S",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206137640",
            "telephone_number": "240-299-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12014 CRESTWOOD AVE S",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206137640",
            "telephone_number": "240-299-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLISTIC WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "TAMEKA",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "240-299-5985",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14710",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vital Point Mobile Lab
• Kimberli Walker, DPT
• Tracey Lynn Wallace, AU.D., CCC/A
• Daniel Wang
• Thomas White
• Brady Thomas Williams, MD
• Chanita N Williams, LGSW
• Dawn Alicia Williams, MSN FNP-C
• Lauren Brooke Williams, DMD
• Mary Catherine Williams

• Mental Health Clinic/Center (Including Community Mental Health Center) in Brandywine, MD
• Providers in Brandywine, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.