OrganizationActive
Avawell, LLC
NPI 1508387374 · Community/Behavioral Health Agency · Edgewood, MD
Provider details
- NPI number
- 1508387374
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- James Omotosho, Owner(443) 992-5088
Specialties & taxonomies
Agencies
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
1308 Business Center Way Ste 101
Edgewood, MD 21040-1504
Phone: (443) 992-5088
Street-level locationGet directions
Mailing address
1308 Business Center Way Ste 101
Edgewood, MD 21040-1504
Other names (DBA / former)
- Former legal business name
- Mindset Support Services, LLC
Registry dates
- Enumerated
- 2017-07-03
- Last updated
- 2022-11-09
- Certified
- 2022-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.