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

Revered-Holistic Healthcare LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1205525334

Revered-Holistic Healthcare LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Columbia, Maryland. Registered with an NPI since 2023.

In the registry since
2023
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

9861 Broken Land Pkwy Ste 100
Columbia, MD 21046-3031
Phone: (410) 399-4240
Fax: (443) 381-0216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1205525334
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adetutu Awodipe — President · (443) 621-2203
NPI enumeratedMay 4, 2023
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025
Mailing address4518 Runnymeade Rd, Owings Mills, MD 21117-6156

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