| Alpha & Omega Health & Wellness Center, Llc | |
|
1282 Smallwood Dr W # 162 Waldorf MD 20603-4732 | |
| (240) 232-5554 | |
| Not Available |
| Full Name | Alpha & Omega Health & Wellness Center, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1282 Smallwood Dr W # 162, Waldorf, Maryland |
| Authorized Official Name and Position | Kimberly Burton (MANAGING PARTNER) |
| Authorized Official Contact | 2023457099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha & Omega Health & Wellness Center, Llc 1282 Smallwood Dr W # 162 Waldorf MD 20603-4732 Ph: (240) 232-5554 | Alpha & Omega Health & Wellness Center, Llc 1282 Smallwood Dr W # 162 Waldorf MD 20603-4732 Ph: (240) 232-5554 |
| NPI Number | 1538655238 |
|---|---|
| Provider Enumeration Date | 07/05/2018 |
| Last Update Date | 07/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538655238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC6985 (Maryland) | Secondary |
| 1041C0700X | Social Worker - Clinical | 15283 (Maryland) | Primary |
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