=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598114647
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEALING POINT LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/09/2016
-----------------------------------------------------
Last Update Date | 09/05/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5501 TWIN KNOLLS RD STE 109
-----------------------------------------------------
City | COLUMBIA
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21045-3260
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-964-9100
-----------------------------------------------------
Fax | 410-964-9100
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7917 LEEDS DR
-----------------------------------------------------
City | PASADENA
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21122-6447
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-964-9100
-----------------------------------------------------
Fax | 410-964-9100
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | BRANDON HUGHES
-----------------------------------------------------
Credential | M.AC., L.AC.
-----------------------------------------------------
Telephone | 410-964-9100
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | U01028
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | U01219
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------