Cervello-Wellness, LLC
Nurse Practitioner, Psych/Mental Health in North Bethesda, MD. Organization (NPI-2).
NPI number1083239255
StatusActive
Last updated in NPPESMay 30, 2026
Details
- NPI
- 1083239255
- Entity type
- Organization (NPI-2)
- Legal business name
- Cervello-Wellness, LLC
- Organization subpart
- No
- Enumeration date
- Jun 12, 2020
- Certification date
- May 30, 2026
- Last updated
- May 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
6010 Executive Blvd Ste 700North Bethesda, MD 20852-3885
Phone 301-392-7120
Mailing address
4014 Diamondhead AveBowie, MD 20721-1308
Phone 301-828-5239
Other practice locations
403 N Henry St
Alexandria, VA 22314-2230
Alexandria, VA 22314-2230
Phone 301-392-7120
Authorized official
Mimi Tyson
Psychiatric Nurse Practitioner
3013927120
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Other Psychiatric/Mental Health Nurse Practitioner providers in North Bethesda, MD
- Maryland Wellness And Recovery Behavioral HealthNPI 1578205886
- Caroline Djouom Mogo, PMHNPNPI 1811693658
- Daphne PrattNPI 1053083345
- Mimi TysonNPI 1952960924
All 5 Psychiatric/Mental Health Nurse Practitioner providers in North Bethesda · All 272 providers in North Bethesda
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