Organization
MINDVIEW BEHAVIORAL HEALTH AND WELLNESS
Active
Other names
Mindview Behavioral Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
WANNO COOMBER BENJAMIN PMHNP (CEO AND OWNER)
(703) 332-9209
Entity
Organization
Contact information
Practice address
6701 DEMOCRACY BLVD STE 300, BETHESDA, MD 20817-7500
(877) 630-8934
Mailing address
6701 DEMOCRACY BLVD STE 300, BETHESDA, MD 20817-7500
(877) 630-8934
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073003398
—
VA
Enumeration date
01/09/2019
Last updated
01/09/2019
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