Healthcare Provider Details

I. General information

NPI: 1841952413
Provider Name (Legal Business Name): DMV PSYCHIATRIC WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2021
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12200 ANNAPOLIS RD STE 225
GLENN DALE MD
20769-9182
US

IV. Provider business mailing address

12200 ANNAPOLIS RD STE 225
GLENN DALE MD
20769-9182
US

V. Phone/Fax

Practice location:
  • Phone: 240-266-5889
  • Fax: 351-214-3692
Mailing address:
  • Phone: 240-266-5889
  • Fax: 351-214-3692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: OKO SOWAH AKRONG
Title or Position: OWNER
Credential:
Phone: 240-266-5889