Provider Demographics
NPI:1851080386
Name:BE THE CHANGE HEALTH & WELLNESS CENTER, P.C.
Entity Type:Organization
Organization Name:BE THE CHANGE HEALTH & WELLNESS CENTER, P.C.
Other - Org Name:BE THE CHANGE HEALTH & WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SULTANA
Authorized Official - Middle Name:
Authorized Official - Last Name:AFROOZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:301-970-9724
Mailing Address - Street 1:8808 CENTRE PARK DR STE 301
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2224
Mailing Address - Country:US
Mailing Address - Phone:301-970-9724
Mailing Address - Fax:
Practice Address - Street 1:8808 CENTRE PARK DR STE 301
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2224
Practice Address - Country:US
Practice Address - Phone:301-970-9724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-02
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Multi-Specialty