# AWESOME EXPERIENCE PSYCHIATRIC SERVICES LLC

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

## Provider details

- **NPI number:** 1457949018
- **Authorized official:** SIYAMI TAKHA DNP (PROVIDER)
- **Authorized official phone:** (202) 705-4133

## Contact information

- **Practice address:** 12070 OLD LINE CTR STE 211, SAINT CHARLES, MD 20602-2567
- **Practice address phone:** (202) 600-6748
- **Practice address fax:** (800) 521-0943
- **Mailing address:** 12070 OLD LINE CTR STE 211, SAINT CHARLES, MD 20602-2567
- **Mailing address phone:** (202) 600-6748
- **Mailing address fax:** (800) 521-0943

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/08/2021
- **Last updated:** 02/09/2026