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MANIFEST WELLNESS SERVICES LLC
NPI 1851150833
Nurse Practitioner - Family in Middle River, MD

Active since March 13, 2024
2201 EASTERN BLVD STE A, MIDDLE RIVER, MD 21220(410) 774-6769(443) 596-0057 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Manifest Wellness Services Llc NPPES

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

MANIFEST WELLNESS SERVICES LLC (NPI 1851150833), doing business as Manifest Weight Loss: Lose Weight, Love Life, No Restrictions., is a healthcare organization registered as a family in Middle River, Maryland and active in the NPI registry since March 2024. The organization maintains a secondary practice location in Woodlawn and lists Genevieve Ifeanyichukwu, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1851150833
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMANIFEST WELLNESS SERVICES LLC
Location Address2201 EASTERN BLVD STE AMiddle River, MD 21220-4296
Mailing Address2201 Eastern Ave Apt ABaltimore, MD 21231-3734 · (410) 774-6769 · Fax (443) 596-0057
Phone(410) 774-6769
Fax(443) 596-0057
Organization SubpartNo
Authorized OfficialGenevieve IfeanyichukwuChief Executive Officer · (443) 531-4264
Enumeration DateMarch 13, 2024
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1851150833 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
2201 EASTERN BLVD STE A, Middle River, MD 21220
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Other Names 1

Doing Business AsManifest Weight Loss: Lose Weight, Love Life, No Restrictions.

Secondary Practice Location 1

Location 16340 Security Blvd Ste B16Woodlawn, MD 21207-5173 · Phone (443) 531-4264

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 3

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

GENEVIEVE IFEANYICHUKWU NP
Nurse Practitioner (Family)
2201 EASTERN BLVD STE A
BALTIMORE, MD 21220
Baltimore County (443) 531-4264
A BETTER YOU HEALTH & WELLNESS CENTER LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
2201 EASTERN BLVD STE A
MIDDLE RIVER, MD 21220
Baltimore County (443) 442-4242
A BETTER YOU HEALTH & WELLNESS CENTER LLC
Psychiatric Residential Treatment Facility
2201 EASTERN BLVD STE A
MIDDLE RIVER, MD 21220
Baltimore County (443) 442-4242

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 Manifest Wellness Services LLC's NPI number?

The NPI number for Manifest Wellness Services LLC is 1851150833. It was assigned to this organization in the NPPES registry on March 13, 2024. The provider is doing business as Manifest Weight Loss: Lose Weight, Love Life, No Restrictions..

Where is Manifest Wellness Services LLC located?

Manifest Wellness Services LLC is located at 2201 Eastern Blvd Ste A, Middle River, MD 21220. The listed phone number is (410) 774-6769.

What is Manifest Wellness Services 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 Manifest Wellness Services LLC was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.