Healthcare Provider Details

I. General information

NPI: 1861702789
Provider Name (Legal Business Name): ACCESS TO WHOLISTIC AND PRODUCTIVE LIVING INSTITUTE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2010
Last Update Date: 10/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7114 CIPRIANO SPRINGS DR
LANHAM MD
20706-3835
US

IV. Provider business mailing address

7114 CIPRIANO SPRINGS DR
LANHAM MD
20706-3835
US

V. Phone/Fax

Practice location:
  • Phone: 240-965-6885
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL

VIII. Authorized Official

Name: BETTYE MUWWAKKIL
Title or Position: EXECUTIVE DIRECTOR
Credential: PHD
Phone: 240-965-6885