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DIVINE BEAUTY & WELLNESS LLC
NPI 1578062055
Specialist - Prosthetics Case Management in Baltimore, MD

Active since February 09, 2018
6340 SECURITY BLVD STE 100, BALTIMORE, MD 21207(410) 304-3127 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divine Beauty & Wellness Llc NPPES

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

DIVINE BEAUTY & WELLNESS LLC (NPI 1578062055) is a healthcare organization registered as a prosthetics case management in Baltimore, Maryland and active in the NPI registry since February 2018. The organization lists Tyrahna Jefferson, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1578062055
Entity TypeOrganization
Primary Taxonomy1744P3200X
Legal Business NameDIVINE BEAUTY & WELLNESS LLC
Location Address6340 SECURITY BLVD STE 100Baltimore, MD 21207-5284
Mailing Address8125 Subet RdWindsor Mill, MD 21244-2973 · (443) 744-0054
Phone(410) 304-3127
Organization SubpartNo
Authorized OfficialTyrahna JeffersonCeo/owner · (410) 304-3127
Enumeration DateFebruary 9, 2018
Last NPPES UpdateAugust 16, 2023
NPPES CertifiedAugust 14, 2023
✔ NPI 1578062055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
Definition
Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
Also ListedReflexologistTaxonomy 173C00000X
6340 SECURITY BLVD STE 100, Baltimore, MD 21207
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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 20

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

JEAN-PAUL JOSEPH CAMERON
Technician, Pathology (Phlebotomy)
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Baltimore City (443) 900-0981
LITTLE ACHIEVERS ABA MD LLC
Behavior Analyst
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Baltimore City (732) 475-3262
AARON MAURICE SCOTT
Psychologist (Rehabilitation)
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Baltimore City (410) 600-3467
HER PROSERVICES
Clinic/Center (Health Service)
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Baltimore City (202) 696-8840
BALANCE AND BLOOM THERAPEUTIC SERVICES LLC
Social Worker (Clinical)
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Baltimore City (410) 405-7977
TRANSFORMING LOTUS COUNSELING, LLC
Counselor (Mental Health)
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Baltimore City (443) 814-9779
ONE STOP WELLNESS
Nurse Practitioner (Family)
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Baltimore City (347) 455-1225
LA SHANAH HOLMES
Behavior Technician
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Baltimore City (818) 241-6780

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 Divine Beauty & Wellness LLC's NPI number?

The NPI number for Divine Beauty & Wellness LLC is 1578062055. It was assigned to this organization in the NPPES registry on February 9, 2018.

Where is Divine Beauty & Wellness LLC located?

Divine Beauty & Wellness LLC is located at 6340 Security Blvd Ste 100, Baltimore, MD 21207. The listed phone number is (410) 304-3127.

What is Divine Beauty & Wellness LLC's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Divine Beauty & Wellness LLC was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.