Healthcare Provider Details

I. General information

NPI: 1982539896
Provider Name (Legal Business Name): CPM WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3723 CAPULET TER
SILVER SPRING MD
20906-2645
US

IV. Provider business mailing address

3723 CAPULET TER
SILVER SPRING MD
20906-2645
US

V. Phone/Fax

Practice location:
  • Phone: 240-997-0337
  • Fax:
Mailing address:
  • Phone: 240-997-0337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTIAN MBULU
Title or Position: CEO-WELLNESS ARCHITECT
Credential: DRPH
Phone: 240-997-0337