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REVERED-HOLISTIC HEALTHCARE LLC
NPI 1205525334
Clinic/Center - Mental Health (Including Community Mental Health Center) in Columbia, MD

Active since May 04, 2023
9861 BROKEN LAND PKWY STE 100, COLUMBIA, MD 21046(410) 399-4240(443) 381-0216 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, May 4, 2023 (2 updates tracked since 2023).

About Revered-holistic Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVERED-HOLISTIC HEALTHCARE LLC (NPI 1205525334) is a healthcare organization registered as a mental health (including community mental health center) in Columbia, Maryland and active in the NPI registry since May 2023. The organization lists Adetutu Awodipe, President, as its authorized official.

NPPES Registry Identity

NPI1205525334
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameREVERED-HOLISTIC HEALTHCARE LLC
Location Address9861 BROKEN LAND PKWY STE 100Columbia, MD 21046-3031
Mailing Address4518 Runnymeade RdOwings Mills, MD 21117-6156 · (410) 399-4240 · Fax (443) 381-0216
Phone(410) 399-4240
Fax(443) 381-0216
Organization SubpartNo
Authorized OfficialAdetutu AwodipePresident · (443) 621-2203
Enumeration DateMay 4, 2023
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1205525334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
9861 BROKEN LAND PKWY STE 100, Columbia, MD 21046
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INFINITE BLISS LLC
Massage Therapist
9861 BROKEN LAND PKWY STE 100
COLUMBIA, MD 21046
Howard County (443) 538-6633
FREDERICK BEHAVIORAL HEALTH SERVICES, LLC
Social Worker (Clinical)
9861 BROKEN LAND PKWY STE 100
COLUMBIA, MD 21046
Howard County (301) 321-8245
PAMELA LYNN WRENCH
Registered Nurse (Psychiatric/Mental Health, Adult)
9861 BROKEN LAND PKWY STE 100
COLUMBIA, MD 21046
Howard County (667) 230-5316
CRYSTAL WATERS COUNSELING CENTERS
Counselor (Mental Health)
9861 BROKEN LAND PKWY STE 100
COLUMBIA, MD 21046
Howard County (410) 925-3202
JACOB HA FNP-C
Nurse Practitioner
9861 BROKEN LAND PKWY STE 100
COLUMBIA, MD 21046
Howard County (410) 401-7575
ADETUTU AWODIPE NP
Nurse Practitioner (Psychiatric/Mental Health)
9861 BROKEN LAND PKWY STE 100
COLUMBIA, MD 21046
Howard County (410) 399-4240
RAPID MEDICAL SUPPLY LLC
Durable Medical Equipment & Medical Supplies
9861 BROKEN LAND PKWY STE 100
COLUMBIA, MD 21046
Howard County (443) 420-3178
RAPID LIMITED LIABILITY COMPANY
Durable Medical Equipment & Medical Supplies
9861 BROKEN LAND PKWY STE 100
COLUMBIA, MD 21046
Howard County (443) 420-3178

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revered-Holistic Healthcare LLC's NPI number?

The NPI number for Revered-Holistic Healthcare LLC is 1205525334. It was assigned to this organization in the NPPES registry on May 4, 2023.

Where is Revered-Holistic Healthcare LLC located?

Revered-Holistic Healthcare LLC is located at 9861 Broken Land Pkwy Ste 100, Columbia, MD 21046. The listed phone number is (410) 399-4240.

What is Revered-Holistic Healthcare LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Revered-Holistic Healthcare LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.