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General NPI Number Information
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NPI Number | 1538701859
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTH AND WELLNESS CLINIC, LLC.
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Dates
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Enumeration Date | 10/09/2019
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 324 MAIN ST. #523
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City | LAUREL
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State | MD
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Zip | 20707
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Country | US
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Telephone | 816-301-4135
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Fax |
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Provider Business Mailing Address
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Address Line | 8101 SANDY SPRING RD STE 300
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City | LAUREL
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State | MD
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Zip | 20707-3596
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. AMANDA FELIX
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Credential | DNP, PMHNP-BC, AGNP
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Telephone | 402-484-4226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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