AWAKE & ROOTED WELLNESS & RECOVERY, LLC
NPI 1407740582
Counselor - Addiction (Substance Use Disorder) in Nottingham, MD

Active since June 04, 2025
4412 COLE FARM RD, NOTTINGHAM, MD 21236(443) 528-0822 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 4, 2025, Aug 12, 2025, Jun 23, 2025 and 1 more (4 updates tracked since 2025).

About Awake & Rooted Wellness & Recovery, Llc NPPES

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

AWAKE & ROOTED WELLNESS & RECOVERY, LLC (NPI 1407740582) is a healthcare organization registered as an addiction (substance use disorder) in Nottingham, Maryland and active in the NPI registry since June 2025. The organization lists Malcolm Lee Broadnax, Owner, as its authorized official.

NPPES Registry Identity

NPI1407740582
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameAWAKE & ROOTED WELLNESS & RECOVERY, LLC
Location Address4412 COLE FARM RDNottingham, MD 21236-2961
Mailing Address4412 Cole Farm RdNottingham, MD 21236-2961
Organization SubpartNo
Authorized OfficialMalcolm Lee BroadnaxOwner · (443) 528-0822
Enumeration DateJune 4, 2025
Last NPPES UpdateSeptember 4, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
NPI 1407740582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
4412 COLE FARM RD, Nottingham, MD 21236

Other Providers at the Same Location NPPES

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

Counselor (Addiction (Substance Use Disorder))
4412 COLE FARM RD
NOTTINGHAM, MD 21236

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 Awake & Rooted Wellness & Recovery, LLC's NPI number?

The NPI number for Awake & Rooted Wellness & Recovery, LLC is 1407740582. It was assigned to this organization in the NPPES registry on June 4, 2025.

Where is Awake & Rooted Wellness & Recovery, LLC located?

Awake & Rooted Wellness & Recovery, LLC is located at 4412 Cole Farm Rd, Nottingham, MD 21236. The listed phone number is (443) 528-0822.

What is Awake & Rooted Wellness & Recovery, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Awake & Rooted Wellness & Recovery, LLC was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.