Organization Active NPI

Absolute Wellness Services LLC

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1790390169
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
ABSOLUTE WELLNESS SERVICES LLC
Practice address
3700 Liberty Heights Ave
Baltimore, MD 21215-7117
Phone
(443) 712-3202
NPI assigned
Sep 12, 2020
Last updated
Apr 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
Karla Moses, ESQ
Title
Credentialing Attorney
Phone
(443) 500-3202

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

3700 Liberty Heights Ave
Baltimore, MD 21215-7117

Mailing address

3 Whispering CT
Owings Mills, MD 21117-2468
Phone (443) 898-2621

National Provider Directory

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": "1599868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1790390169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WHISPERING CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172468",
            "telephone_number": "443-898-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 LIBERTY HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212157117",
            "telephone_number": "443-712-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-12",
        "last_updated": "2024-04-23",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "CREDENTIALING ATTORNEY",
        "authorized_official_telephone_number": "443-500-3202",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.