Bazaaa Holistic Services, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BAZAAA HOLISTIC SERVICES, LLC

Practice address

11507 Gloxinia CT
Upper Marlboro, MD 20774-9218

Phone

(240) 584-5640

NPI assigned

Apr 9, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Palvine Anchenmih Alem, CRNPNPI 1780258160

Title

Pmhnp

Phone

(240) 481-8451

Specialties & licenses 1

Addresses

Practitioners 1

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

• Palvine Anchenmih Alem, PMHNP

  • Psychiatric/Mental Health Registered Nurse
  • Upper Marlboro, MD
  • NPI 1780258160
  NPD Authorized official

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1689469975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11507 GLOXINIA CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207749218",
            "telephone_number": "240-481-8451",
            "fax_number": "240-481-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11507 GLOXINIA CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207749218",
            "telephone_number": "240-584-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAZAAA HOLISTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "ALEM",
        "authorized_official_first_name": "PALVINE",
        "authorized_official_middle_name": "ANCHENMIH",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "240-481-8451",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.