WHOLISTIC RESTORATIONS LLC (NPI# 1023446002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023446002 |
| Entity Type | Organization |
| Organization Name | WHOLISTIC RESTORATIONS LLC |
| Practice Address |
12200 Annapolis Rd Suite 320 Glenn Dale MD 20769-9182 |
| Mailing Address |
4230 Lavender Ln Bowie MD 20720-4291 |
| Practice Telephone | 3013999119 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-11-22 |
| Authorized Official Name | AILSA COAKLEY (OWNER) |
| Authorized Official Telephone | 3013999119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
03437 | MD | Ambulatory Health Care Facilities |
| Street Address |
12200 ANNAPOLIS RD SUITE 320 |
| City | GLENN DALE |
| State | MD |
| Zip Code | 20769-9182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265472567 | Ikechi F Okwara | Internal Medicine | 12200 Annapolis Rd, Ste 316, Glenn Dale, MD 20769-9182 | 2006-06-07 |
| 1932576378 | Sports Pro Physical Therapy LLC. | Physical Therapist | 12200 Annapolis Rd, #119, Glenn Dale, MD 20769-9182 | 2015-09-01 |
| 1770982423 | Dominique Leary | Physical Therapist | 12200 Annapolis Rd, Glenn Dale, MD 20769-9182 | 2014-08-19 |
| 1659795391 | Kelsi Davis | Physical Therapist | 12200 Annapolis Rd, Suite 119, Glenn Dale, MD 20769-9182 | 2014-02-18 |
| 1124460621 | Advanced Eye Care Medical Center | Ophthalmology | 12200 Annapolis Rd, Suite 116, Glenn Dale, MD 20769-9182 | 2013-07-24 |
| 1962842401 | Phs Family Medicine Glenn Dale | General Acute Care Hospital | 12200 Annapolis Rd, Suite 118, Glenn Dale, MD 20769-9182 | 2013-06-28 |
| 1114362845 | Maryland Specialty Group LLC | Obstetrics & Gynecology | 12200 Annapolis Rd, Ste 123, Glenn Dale, MD 20769-9182 | 2013-05-08 |
| 1629317201 | Nikisha Gandhi | Physical Therapist | 12200 Annapolis Rd, Suite 119, Glenn Dale, MD 20769-9182 | 2013-02-02 |
| 1891042578 | Sherri Crable | Physical Therapist | 12200 Annapolis Rd, Suite 119, Glenn Dale, MD 20769-9182 | 2012-08-13 |
| 1255696647 | Nicole C Lawson | Occupational Therapist | 12200 Annapolis Rd, Suite 225, Glenn Dale, MD 20769-9182 | 2012-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023585676 | Ifeoma C Onyeiwu | Nurse Practitioner | Krystal Medical Associates, 12150 Annapolis Rd, Suite 100, Glenndale, MD 20769 | 2018-10-31 |
| 1124593983 | Olivia Kaindaneh | Technician | 10809 Glandshire Dr, Glandale, MD 20769 | 2018-10-09 |
| 1154810505 | Cassie Leghu | Home Health Aide | 5108 Janesdale Court, Glenn Dale, MD 20769 | 2018-05-01 |
| 1033659164 | Eternal Dermatology and Aesthetic Center LLC | Dermatology | 12150 Annapolis Rd Ste 213, Glenn Dale, MD 20769 | 2017-03-08 |
| 1881957934 | Angela Teresa Dudley Hamilton | Counselor | 11415 Old Pond Drive, Glenn Dale, MD 20769 | 2012-06-22 |
| 1144597923 | Jaj Health Care Services,llc | Clinical Nurse Specialist | 12150 Annapolis Rd # 205, Glenndale, MD 20769 | 2011-11-22 |
| 1831493030 | Evidence Physical Therapy, LLC | Physical Therapist | 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 | 2011-01-03 |
| 1972731867 | Linh Nguyen | Pharmacist | 10831 Lanham Severn Rd, Glenn Dale, MD 20769 | 2009-06-30 |
| 1417141557 | Sharon Evette Hawks | Nutritionist | 12150 Annapolis Rd., Ste. 104, Glenn Dale, MD 20769 | 2007-08-31 |
| 1871715441 | Beth S Warner | Psychologist | 1107 Shoemaker Bldg., U. of Md Counseling Center, Glenn Dale, MD 20769 | 2007-05-03 |
| Find all providers in zip 20769 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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| 1700490562 | Denoor Healthcare Services Inc | Clinic/Center | 12123 Statewood Rd, Reisterstown, MD 21136-4709 | 2020-08-31 |
| 1265041008 | Truecare Behavioral Health Systems, Inc | Clinic/Center | 330 E 25th St Ste 101, Baltimore, MD 21218-5359 | 2020-07-28 |
| 1578171088 | Dana Shaw LLC | Clinic/Center | 822 Guilford Ave Ste 802, Baltimore, MD 21202-3707 | 2020-07-21 |
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1285250191 | Michael Nwandu Dnp, Pmhnp-bc, LLC | Clinic/Center | 5702 Country Farm Road, White Marsh, MD 21162 | 2020-06-17 |
| 1811519564 | Womens Healing Center LLC | Clinic/Center | 8167 Main St Ste 206, Ellicott City, MD 21043-4776 | 2020-05-15 |
| 1942821004 | Western Maryland Psychology LLC | Clinic/Center | 14407 Marsh Pike, Hagerstown, MD 21742-1647 | 2020-04-29 |
| 1295355352 | Bright Care Solutions LLC | Clinic/Center | 8702 Castlerock Ct, Laurel, MD 20723-2702 | 2020-04-19 |
| Find all providers with the same taxonomy | ||||
| City | GLENN DALE |
| Zip Code | 20769 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.