Organization
AUTHENTIC MENTAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCINE KAMHOUA (PROVIDER)
(703) 508-6182
Entity
Organization
Contact information
Practice address
10810 DARNESTOWN RD STE 103, GAITHERSBURG, MD 20878-2604
(240) 829-1863
(240) 238-6187
Mailing address
10810 DARNESTOWN RD STE 103, GAITHERSBURG, MD 20878-2604
(240) 829-1863
(240) 238-6187
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
11/14/2024
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