Healthcare Provider Details

I. General information

NPI: 1710863287
Provider Name (Legal Business Name): TENDER MERCIES HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10903 DEBORAH DR
POTOMAC MD
20854-2718
US

IV. Provider business mailing address

10903 DEBORAH DR
POTOMAC MD
20854-2718
US

V. Phone/Fax

Practice location:
  • Phone: 703-639-7091
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: HONORINE KOUAMI
Title or Position: CEO
Credential:
Phone: 703-639-7091