DIVINE BEAUTY & WELLNESS LLC (NPI# 1578062055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578062055 |
| Entity Type | Organization |
| Organization Name | DIVINE BEAUTY & WELLNESS LLC |
| Practice Address |
8125 Subet Rd Windsor Mill MD 21244-2973 |
| Practice Telephone | 4437440054 |
| Mailing Telephone | 4437440054 |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-02-09 |
| Authorized Official Name | TYRAHNA JEFFERSON (CEO/OWNER) |
| Authorized Official Telephone | 4437440054 |
| Authorized Official Credential | CERTIFIED HAIR L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 173C00000X | Reflexologist | Other Service Providers | ||
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| Street Address |
8125 SUBET RD |
| City | WINDSOR MILL |
| State | MD |
| Zip Code | 21244-2973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649629064 | Tyrahna Jefferson | Specialist | 8125 Subet Rd, Windsor Mill, MD 21244-2973 | 2016-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748468 | Sinnai Behavioral Health Services Inc | Psychiatric Residential Treatment Facility | 3610 Milford Road, Third Floor, Baltimore, MD 21244 | 2020-07-23 |
| 1023655370 | Flourish Healthcare Solutions, LLC | Home Health Aide | 3517 Langrehr Road, Suite 106a, Windsor Hill, MD 21244 | 2019-12-05 |
| 1265078471 | Chika Cares Pre-diabetes Workshop LLC | Public Health or Welfare | St Gabriel Church, 6950 Dogwood Rd, Windsor Mill, MD 21244 | 2019-11-22 |
| 1306318761 | Elana Rose Dorfman | Social Worker | 7205 Rutherford Road, Windsor Mill, MD 21244 | 2018-12-26 |
| 1235618406 | Stacy Solte Antonio | Physical Therapy Assistant | 7141 Security Blvd., Woodlawn, MD 21244 | 2018-08-08 |
| 1831675446 | Martha Marie Brown | Behavior Technician | 7901 Subet Rd, Windsor Mill, MD 21244 | 2018-07-17 |
| 1003306671 | Bk Faithful Enterprises Consulting, LLC | Dentist | 3120 Lord Baltimore Dr Ste 100, Baltimore, MD 21244 | 2018-05-18 |
| 1235640475 | Kingsley Awah | Home Health Aide | 7932 Dunhill Village Cir, Windsor Mill, Baltimore, MD 21244 | 2017-10-16 |
| 1316465917 | Elizabeth Duggan | Occupational Therapist | 7141 Security Blvd, Md 21244, Baltimore, MD 21244 | 2017-09-03 |
| 1326565052 | Latoya Womack | Registered Nurse | 7102 Burford Ct Apt 301, Windsor Mill, MD 21244 | 2017-08-24 |
| Find all providers in zip 21244 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649629064 | Tyrahna Jefferson | Specialist | 8125 Subet Rd, Windsor Mill, MD 21244-2973 | 2016-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153633 | Katreia Chareece White | Specialist | 5612 Saint Barnabas Rd, Oxon Hill, MD 20745-3626 | 2020-10-27 |
| 1437766482 | Natalyn Obey | Specialist | 10095 Washington Blvd N Ste 134, Laurel, MD 20723-1968 | 2020-09-24 |
| 1013528686 | Melissa Hammond | Specialist | 595 Main St Ste 235a, Laurel, MD 20707-4352 | 2020-08-16 |
| 1497373492 | Irene Marie Watkins | Specialist | 595 Main St Ste 235, Laurel, MD 20707-4352 | 2020-07-07 |
| 1073138285 | Andria Jackson | Specialist | 9560 Marlboro Pike Ste 105, Upper Marlboro, MD 20772-3770 | 2020-06-12 |
| 1467074849 | Martha Tanesha Hines | Specialist | 3407 Fort Meade Rd Ste 14, Laurel, MD 20724-2003 | 2020-05-08 |
| 1215558473 | Teraga Gross | Specialist | 5201 Ivanhoe Ave, Baltimore, MD 21212-4322 | 2020-04-29 |
| 1275168312 | Barry Staten | Specialist | 2323 Shadyside Ave, Suitland, MD 20746-4827 | 2020-03-09 |
| 1609401066 | Demarcus Tyler | Specialist | 5526 Belair Rd, Baltimore, MD 21206-3614 | 2020-03-05 |
| 1790316206 | Antjuan Mandwell Bunn | Specialist | 8147 Baltimore Ave Ste C, College Park, MD 20740-2492 | 2020-02-03 |
| Find all providers with the same taxonomy | ||||
| City | WINDSOR MILL |
| Zip Code | 21244 |
Please comment or provide details below to improve the information on DIVINE BEAUTY & WELLNESS LLC.
| 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.