Organization
PEACEFUL MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHOUCHOUNA KALAMBA NP (PMHNP)
(240) 205-6310
Entity
Organization
Contact information
Practice address
3616 BYRON CIR, FREDERICK, MD 21704-7812
(240) 205-6310
Mailing address
3616 BYRON CIR, FREDERICK, MD 21704-7812
(240) 205-6310
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/17/2024
Last updated
05/15/2024
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