# NIRVANA HOLISTIC SPA LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NIRVANA HOLISTIC SPA
- **Other names:** Nirvana Holistic Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831900141
- **Legal business name:** NIRVANA HOLISTIC SPA
- **Authorized official:** DR. SHAUNDEL KNIGHTS ND (OWNER)
- **Authorized official phone:** (301) 798-7687

## Contact information

- **Practice address:** 6201 GREENBELT RD STE U7, BERWYN HEIGHTS, MD 20740-2361
- **Practice address phone:** (301) 798-7687
- **Practice address fax:** (800) 297-9152
- **Mailing address:** 6201 GREENBELT RD STE U7, BERWYN HEIGHTS, MD 20740-2361
- **Mailing address phone:** (301) 798-7687
- **Mailing address fax:** (800) 297-9152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 175F00000X | Naturopath | — | NULL | — |
| 175F00000X | Naturopath | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2025
- **Last updated:** 07/28/2025