Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Addiction Wellness Center LLC

Organization Adult Health Nurse Practitioner · NPI 1912760877

Addiction Wellness Center LLC is an Adult Health Nurse Practitioner in Quantico, Maryland. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5438 Sandy Hill Rd Ste A
Quantico, MD 21856-2100
Phone: (443) 547-2964
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X

Record details

NPI number1912760877
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAddiction Wellness Center LLC
Authorized official Jessie Costley — Credentialing Specialist · (443) 839-6928
NPI enumeratedFebruary 2, 2024
Last updated in NPPESFebruary 28, 2025
Certification dateFebruary 28, 2025
Mailing address5438 Sandy Hill Rd Ste A, Quantico, MD 21856-2100