ADDICTION WELLNESS CENTER LLC
NPI 1275203275
Clinic/Center - Mental Health (Including Community Mental Health Center) in Quantico, MD

Q: What is Addiction Wellness Center LLC's NPI number?

The NPI number for Addiction Wellness Center LLC is 1275203275. It was assigned to this organization in the NPPES registry on September 20, 2021.

Q: What is Addiction Wellness Center 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.

Active since September 20, 2021

5438 SANDY HILL RD STE A, QUANTICO, MD 21856(443) 547-2964 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 28, 2025, Dec 3, 2024, Aug 1, 2024 and 1 more (4 updates tracked since 2021).

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About Addiction Wellness Center Llc NPPES

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

ADDICTION WELLNESS CENTER LLC (NPI 1275203275) is a healthcare organization registered as a mental health (including community mental health center) in Quantico, Maryland and active in the NPI registry since September 2021. The organization lists Jessie Costley, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1275203275

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameADDICTION WELLNESS CENTER LLC

Location Address5438 SANDY HILL RD STE AQuantico, MD 21856-2100

Mailing Address5438 Sandy Hill Rd Ste AQuantico, MD 21856-2100 · (443) 547-2964

Phone(443) 547-2964

Organization SubpartNo

Authorized OfficialJessie CostleyCredentialing Specialist · (443) 839-6928

Enumeration DateSeptember 20, 2021

Last NPPES UpdateFebruary 28, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2025

✔ NPI 1275203275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

5438 SANDY HILL RD STE A, Quantico, MD 21856

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Other Identifiers 1

Medicaid987178100MD

Other Providers at the Same Location NPPES

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

ADDICTION WELLNESS CENTER LLC

Nurse Practitioner (Adult Health)

5438 SANDY HILL RD STE A
QUANTICO, MD 21856

Wicomico County (443) 547-2964

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 Addiction Wellness Center LLC's NPI number?

The NPI number for Addiction Wellness Center LLC is 1275203275. It was assigned to this organization in the NPPES registry on September 20, 2021.

Where is Addiction Wellness Center LLC located?

Addiction Wellness Center LLC is located at 5438 Sandy Hill Rd Ste A, Quantico, MD 21856. The listed phone number is (443) 547-2964.

What is Addiction Wellness Center 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 Addiction Wellness Center LLC was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.