Healthcare Provider Details

I. General information

NPI: 1255964649
Provider Name (Legal Business Name): T&T HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2020
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14504 GREENVIEW DR STE 210
LAUREL MD
20708-3225
US

IV. Provider business mailing address

7608 GIGUR DR
HANOVER MD
21076-2211
US

V. Phone/Fax

Practice location:
  • Phone: 240-584-1805
  • Fax:
Mailing address:
  • Phone: 240-584-1805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: OLUWATOSIN SOWUNMI
Title or Position: CEO
Credential:
Phone: 646-284-0425