Center For Wellness And Recovery, Llc | |
3261 Old Washington Rd Ste 2020 Waldorf MD 20602-3231 | |
(240) 280-0889 | |
Not Available |
Full Name | Center For Wellness And Recovery, Llc |
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Speciality | Counselor |
Location | 3261 Old Washington Rd Ste 2020, Waldorf, Maryland |
Authorized Official Name and Position | Amy Sims (OWNER) |
Authorized Official Contact | 2402800889 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Center For Wellness And Recovery, Llc 3261 Old Washington Rd Ste 2020 Waldorf MD 20602-3231 Ph: (240) 280-0889 | Center For Wellness And Recovery, Llc 3261 Old Washington Rd Ste 2020 Waldorf MD 20602-3231 Ph: (240) 280-0889 |
NPI Number | 1831825579 |
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Provider Enumeration Date | 07/26/2022 |
Last Update Date | 07/26/2022 |
Certification Date | 07/26/2022 |
Medicare PECOS PAC ID | 0749621654 |
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Medicare Enrollment ID | O20240509001702 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831825579 | NPI | - | NPPES |
LCA2894 | Other | MD | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Provider Name | Amy C Sims |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1275059453 PECOS PAC ID: 1658712567 Enrollment ID: I20240509002077 |
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