NPIMap

Organization Active NPI

Maxema & Estelle Wellness Solutions, LLC

  • Counselor
  • Center Point, AL
National Provider Identifier
1780256164
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
MAXEMA & ESTELLE WELLNESS SOLUTIONS, LLC
Practice address
1540 Center Point Pkwy Ste 202
Center Point, AL 35215-5666
Phone
(205) 718-1503
NPI assigned
Jul 14, 2021
Last updated
Jul 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Kendralia Agazie, RN, LGSW
Title
Co-Owner
Phone
(205) 718-1503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

1540 Center Point Pkwy Ste 202
Center Point, AL 35215-5666

Mailing address

1540 Center Point Pkwy Ste 202
Center Point, AL 35215-5666
Phone (205) 718-1503

National Provider Directory

National Provider Directory
Tax ID family
Maxema Estelle Wellness Solutions LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1780256164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 CENTER POINT PKWY STE 202",
            "city": "CENTER POINT",
            "state": "AL",
            "postal_code": "352155666",
            "telephone_number": "205-718-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 CENTER POINT PKWY STE 202",
            "city": "CENTER POINT",
            "state": "AL",
            "postal_code": "352155666",
            "telephone_number": "205-718-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXEMA & ESTELLE WELLNESS SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "AGAZIE",
        "authorized_official_first_name": "KENDRALIA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "205-718-1503",
        "authorized_official_credential": "RN, LGSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Point, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.