=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568244010
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE EMPATHIC WELLNESS CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/19/2023
-----------------------------------------------------
Last Update Date | 01/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 121 CONGRESSIONAL LN STE 701
-----------------------------------------------------
City | ROCKVILLE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20852-1562
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-730-7329
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 121 CONGRESSIONAL LN STE 701
-----------------------------------------------------
City | ROCKVILLE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20852-1562
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-730-7329
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEDICAL DIRECTOR
-----------------------------------------------------
Name | BERNADETTE BELEHO WOUEKO
-----------------------------------------------------
Credential | CRNP
-----------------------------------------------------
Telephone | 240-715-8604
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------