Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ADDICTION WELLNESS CENTER LLC
Active
Organization
ADDICTION WELLNESS CENTER LLC
Active
Parent organization
ADDICTION WELLNESS CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADDICTION WELLNESS CENTER LLC
Authorized official
JESSIE COSTLEY (CREDENTIALING SPECIALIST)
(443) 839-6928
Entity
Organization
Contact information
Practice address
5438 SANDY HILL RD STE A, QUANTICO, MD 21856-2100
(443) 547-2964
Mailing address
5438 SANDY HILL RD STE A, QUANTICO, MD 21856-2100
(443) 547-2964
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/28/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers