# DISTINCT CARE MENTAL HEALTH AND WELLNESS SERVICES LLC

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

## Provider details

- **NPI number:** 1275496424
- **Authorized official:** MRS. LILIAN AZENABOR APRN, PMHNP (NURSE PRACTITIONER)
- **Authorized official phone:** (540) 255-9729

## Contact information

- **Practice address:** 8401 MAYLAND DR \# 6593, RICHMOND, VA 23294-4648
- **Practice address phone:** (540) 255-9729
- **Mailing address:** 8401 MAYLAND DR \# 6593, RICHMOND, VA 23294-4648
- **Mailing address phone:** (301) 531-4767
- **Mailing address fax:** (434) 404-4746

## 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:** 12/04/2025
- **Last updated:** 10/03/2026