OrganizationActive
Addiction Wellness Center LLC
NPI 1275203275 · Mental Health Clinic/Center (Including Community Mental Health Center) · Quantico, MD
Provider details
- NPI number
- 1275203275
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jessie Costley, Credentialing Specialist(443) 839-6928
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5438 Sandy Hill Rd Ste a
Quantico, MD 21856-2100
Phone: (443) 547-2964
Street-level locationGet directions
Mailing address
5438 Sandy Hill Rd Ste a
Quantico, MD 21856-2100
Registry dates
- Enumerated
- 2021-09-20
- Last updated
- 2025-02-28
- Certified
- 2025-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.