OrganizationActive
Awake & Rooted Wellness & Recovery, LLC
NPI 1407740582 · Addiction (Substance Use Disorder) Counselor · Nottingham, MD
Provider details
- NPI number
- 1407740582
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Malcolm Broadnax, Owner(443) 528-0822
Specialties & taxonomies
Behavioral Health & Social Service Providers
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
4412 Cole Farm Rd
Nottingham, MD 21236-2961
Phone: (443) 528-0822
Street-level locationGet directions
Mailing address
4412 Cole Farm Rd
Nottingham, MD 21236-2961
Registry dates
- Enumerated
- 2025-06-04
- Last updated
- 2025-09-04
- Certified
- 2025-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.