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Organization
DISTINCT CARE MENTAL HEALTH AND WELLNESS SERVICES LLC
Active
Organization
DISTINCT CARE MENTAL HEALTH AND WELLNESS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILIAN AZENABOR APRN, PMHNP (NURSE PRACTITIONER)
(540) 255-9729
Entity
Organization
Contact information
Practice address
8401 MAYLAND DR # 6593, RICHMOND, VA 23294-4648
(540) 255-9729
Mailing address
8401 MAYLAND DR # 6593, RICHMOND, VA 23294-4648
(301) 531-4767
(434) 404-4746
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/04/2025
Last updated
10/03/2026
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