SHINING PATH WELLNESS CLINIC LLC
NPI 1851277370
Nurse Practitioner - Psychiatric/Mental Health in Rockville, MD

Active since August 12, 2025
12345 PARKLAWN DR STE 200, ROCKVILLE, MD 20852(301) 355-3145 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2025, Aug 12, 2025 (2 updates tracked since 2025).

About Shining Path Wellness Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHINING PATH WELLNESS CLINIC LLC (NPI 1851277370) is a healthcare organization registered as a psychiatric/mental health in Rockville, Maryland and active in the NPI registry since August 2025. The organization lists Afusat Deng, Owner, as its authorized official.

NPPES Registry Identity

NPI1851277370
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSHINING PATH WELLNESS CLINIC LLC
Location Address12345 PARKLAWN DR STE 200Rockville, MD 20852-1725
Mailing Address12345 Parklawn Dr Ste 200Rockville, MD 20852-1725 · (301) 355-3145
Organization SubpartNo
Authorized OfficialAfusat DengOwner · (332) 330-3903
Enumeration DateAugust 12, 2025
Last NPPES UpdateDecember 3, 20252 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
NPI 1851277370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
12345 PARKLAWN DR STE 200, Rockville, MD 20852

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
12345 PARKLAWN DR STE 200
ROCKVILLE, MD 20852
Dietitian, Registered
12345 PARKLAWN DR STE 200
ROCKVILLE, MD 20852
Counselor (Mental Health)
12345 PARKLAWN DR STE 200
ROCKVILLE, MD 20852
Social Worker (Clinical)
12345 PARKLAWN DR STE 200
ROCKVILLE, MD 20852
Community/Behavioral Health
12345 PARKLAWN DR STE 200
ROCKVILLE, MD 20852
Nurse Practitioner (Psychiatric/Mental Health)
12345 PARKLAWN DR STE 200
ROCKVILLE, MD 20852
Doula
12345 PARKLAWN DR STE 200
ROCKVILLE, MD 20852
Social Worker (Clinical)
12345 PARKLAWN DR STE 200, #1125
ROCKVILLE, MD 20852

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shining Path Wellness Clinic LLC's NPI number?

The NPI number for Shining Path Wellness Clinic LLC is 1851277370. It was assigned to this organization in the NPPES registry on August 12, 2025.

Where is Shining Path Wellness Clinic LLC located?

Shining Path Wellness Clinic LLC is located at 12345 Parklawn Dr Ste 200, Rockville, MD 20852. The listed phone number is (301) 355-3145.

What is Shining Path Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Shining Path Wellness Clinic LLC was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.