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

Awake & Rooted Wellness & Recovery, LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1407740582

Awake & Rooted Wellness & Recovery, LLC is an Addiction (Substance Use Disorder) Counselor in Nottingham, Maryland. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4412 Cole Farm Rd
Nottingham, MD 21236-2961
Phone: (443) 528-0822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X

Record details

NPI number1407740582
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Malcolm Broadnax — Owner · (443) 528-0822
NPI enumeratedJune 4, 2025
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025
Mailing address4412 Cole Farm Rd, Nottingham, MD 21236-2961

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