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REVERED-HOLISTIC HEALTHCARE LLC
NPI 1700377876
Nurse Practitioner - Family in Columbia, MD

Active since May 24, 2018
9861 BROKEN LAND PKWY STE 100, COLUMBIA, MD 21046(443) 621-2203(410) 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, Jun 1, 2023, May 24, 2018 (3 updates tracked since 2018).

About Revered-holistic Healthcare Llc NPPES

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

REVERED-HOLISTIC HEALTHCARE LLC (NPI 1700377876), doing business as Revered Holistic Healthcare Llc, is a healthcare organization registered as a family in Columbia, Maryland and active in the NPI registry since May 2018. The organization lists Adetutu Awodipe, Owner, as its authorized official.

NPPES Registry Identity

NPI1700377876
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameREVERED-HOLISTIC HEALTHCARE LLC
Location Address9861 BROKEN LAND PKWY STE 100Columbia, MD 21046-3031
Mailing Address4218 Summer Shade WayOwings Mills, MD 21117-4872 · (443) 621-2203
Phone(443) 621-2203
Fax(410) 381-0216
Organization SubpartNo
Authorized OfficialAdetutu AwodipeOwner · (443) 621-2203
Enumeration DateMay 24, 2018
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1700377876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R194691

Other Names 1

Doing Business AsRevered Holistic Healthcare Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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
REVERED-HOLISTIC HEALTHCARE LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
9861 BROKEN LAND PKWY STE 100
COLUMBIA, MD 21046
Howard County (410) 399-4240
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

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 1700377876. It was assigned to this organization in the NPPES registry on May 24, 2018. The provider is doing business as Revered Holistic Healthcare LLC.

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 (443) 621-2203.

What is Revered-Holistic Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

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.