# TAS BEHAVIORAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144911603
- **Authorized official:** LINDA NKONGCHU (OWNER OF ENTITY)
- **Authorized official phone:** (240) 599-5177

## Contact information

- **Practice address:** 33 W FRANKLIN ST STE 201, HAGERSTOWN, MD 21740-4863
- **Practice address phone:** (240) 599-5177
- **Mailing address:** 4300 CEDAR REACH LN, BOWIE, MD 20720-5808
- **Mailing address phone:** (240) 599-5177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2023
- **Last updated:** 12/27/2024