Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shining Path Wellness Clinic LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1851277370

Shining Path Wellness Clinic LLC is a Psychiatric/Mental Health Nurse Practitioner in Rockville, Maryland. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12345 Parklawn Dr Ste 200
Rockville, MD 20852-1725
Phone: (301) 355-3145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1851277370
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Afusat Deng — Owner · (332) 330-3903
NPI enumeratedAugust 12, 2025
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address12345 Parklawn Dr Ste 200, Rockville, MD 20852-1725

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