| Authentic Mental Wellness Llc | |
|
10810 Darnestown Rd Ste 103 Gaithersburg MD 20878-2604 | |
| (240) 829-1863 | |
| (240) 238-6187 |
| Full Name | Authentic Mental Wellness Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 10810 Darnestown Rd Ste 103, Gaithersburg, Maryland |
| Authorized Official Name and Position | Francine Kamhoua (PROVIDER) |
| Authorized Official Contact | 7035086182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Mental Wellness Llc 10810 Darnestown Rd Ste 103 Gaithersburg MD 20878-2604 Ph: (240) 829-1863 | Authentic Mental Wellness Llc 10810 Darnestown Rd Ste 103 Gaithersburg MD 20878-2604 Ph: (240) 829-1863 |
| NPI Number | 1801573605 |
|---|---|
| Provider Enumeration Date | 07/03/2023 |
| Last Update Date | 11/14/2024 |
| Certification Date | 11/14/2024 |
| Medicare PECOS PAC ID | 9234593484 |
|---|---|
| Medicare Enrollment ID | O20230907000434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801573605 | NPI | - | NPPES |
| Provider Name | Francine Mefeussom Kamhoua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275145468 PECOS PAC ID: 0042630782 Enrollment ID: I20210512000694 |
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