Organization · Type 2 NPI

Addiction Wellness Center WV LLC

Nurse Practitioner · Comfort, WV

NPI number 1609710235 Active

Practice location

129 Deanna Street
Comfort, WV 25049

Mailing address

1100 Business Pkwy S Ste 1
Westminster, MD 21157-3048

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

Another provider at this address

About NPI 1609710235

Addiction Wellness Center WV LLC's National Provider Identifier is 1609710235, issued on Apr 15, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Comfort, WV. The record was last updated on Jul 24, 2026.