1841006509 NPI number — EXCEEDING WELLNESS AND SUPPORT SERVICES, INC.

Table of content: (NPI 1841006509)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841006509 NPI number — EXCEEDING WELLNESS AND SUPPORT SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EXCEEDING WELLNESS AND SUPPORT SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841006509
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/20/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2531
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ELLICOTT CITY
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21041-2531
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-961-4041
Provider Business Mailing Address Fax Number:
410-483-7300

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1401 S EDGEWOOD ST STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HALETHORPE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21227-1145
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-961-4041
Provider Business Practice Location Address Fax Number:
410-483-7300
Provider Enumeration Date:
12/09/2024

Additional Information

Authorized Official

Authorized Official Last Name:
OKOJIE
Authorized Official First Name:
ODDY
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF OPERATIONS
Authorized Official Telephone Number:
443-961-4041

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 320900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com