Healthcare Provider Details

I. General information

NPI: 1881546646
Provider Name (Legal Business Name): HAPPILY EVER LIVING BY ANG
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 02/12/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 SULGRAVE AVE # 311E
BALTIMORE MD
21209-3654
US

IV. Provider business mailing address

2334 BRIGHT LEAF WAY
BALTIMORE MD
21209-3471
US

V. Phone/Fax

Practice location:
  • Phone: 443-465-7907
  • Fax:
Mailing address:
  • Phone: 443-465-7907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANGELA JANINE GINN-MEADOW
Title or Position: OWNER
Credential: REGISTERED DIETITIAN
Phone: 443-465-7907