Organization
AWESOME EXPERIENCE PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIYAMI TAKHA DNP (PROVIDER)
(202) 705-4133
Entity
Organization
Contact information
Practice address
12070 OLD LINE CTR STE 211, SAINT CHARLES, MD 20602-2567
(202) 600-6748
(800) 521-0943
Mailing address
12070 OLD LINE CTR STE 211, SAINT CHARLES, MD 20602-2567
(202) 600-6748
(800) 521-0943
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2021
Last updated
02/09/2026
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