Provider Demographics
NPI:1609531904
Name:CAMBIARE HEALTH AND WELLNESS LLC
Entity Type:Organization
Organization Name:CAMBIARE HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP, PMHNP
Authorized Official - Phone:410-694-7411
Mailing Address - Street 1:1814 BEL AIR RD STE 300
Mailing Address - Street 2:
Mailing Address - City:FALLSTON
Mailing Address - State:MD
Mailing Address - Zip Code:21047-2730
Mailing Address - Country:US
Mailing Address - Phone:410-694-7411
Mailing Address - Fax:410-694-7410
Practice Address - Street 1:1814 BEL AIR RD STE 300
Practice Address - Street 2:
Practice Address - City:FALLSTON
Practice Address - State:MD
Practice Address - Zip Code:21047-2730
Practice Address - Country:US
Practice Address - Phone:410-694-7411
Practice Address - Fax:410-694-7410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty