Healthcare Provider Details

I. General information

NPI: 1356258990
Provider Name (Legal Business Name): HC MENTAL HEALTH & WELLNESS TELEPSYCH NP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1629 K ST NW STE 300
WASHINGTON DC
20006-1631
US

IV. Provider business mailing address

1601 BELVEDERE RD STE 300E
WEST PALM BEACH FL
33406-1554
US

V. Phone/Fax

Practice location:
  • Phone: 202-558-1970
  • Fax: 949-703-8640
Mailing address:
  • Phone: 561-386-0774
  • Fax: 949-703-8640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. HAWLEY JENNIFER CAMPBELL
Title or Position: PMHNP-BC. FNP-BC FNP-C
Credential: APRN
Phone: 561-386-0774