| Olney Counseling Center Llc | |
|
3300 Olney Sandy Spring Rd Ste 340 Olney MD 20832-3306 | |
| (301) 570-7500 | |
| (301) 570-7504 |
| Full Name | Olney Counseling Center Llc |
|---|---|
| Speciality | Counselor |
| Location | 3300 Olney Sandy Spring Rd Ste 340, Olney, Maryland |
| Authorized Official Name and Position | Kimberly Jane Wells (OWNER/PRESIDENT) |
| Authorized Official Contact | 3015707500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olney Counseling Center Llc 3300 Olney Sandy Spring Rd Ste 340 Olney MD 20832-3306 Ph: (301) 570-7500 | Olney Counseling Center Llc 3300 Olney Sandy Spring Rd Ste 340 Olney MD 20832-3306 Ph: (301) 570-7500 |
| NPI Number | 1114438108 |
|---|---|
| Provider Enumeration Date | 10/17/2017 |
| Last Update Date | 07/31/2024 |
| Certification Date | 07/31/2024 |
| Medicare PECOS PAC ID | 4082972690 |
|---|---|
| Medicare Enrollment ID | O20180102002231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114438108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Maryland) | Primary |
| Provider Name | Kimberly J Wells |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457545907 PECOS PAC ID: 3375691611 Enrollment ID: I20090427000052 |
| Provider Name | Emily M Weschler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609254903 PECOS PAC ID: 9436468386 Enrollment ID: I20151016000689 |
| Provider Name | Kelsey L Rood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952060246 PECOS PAC ID: 2769827088 Enrollment ID: I20240227000873 |
| Provider Name | Nicole Kathleen Evanko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184210122 PECOS PAC ID: 7315394665 Enrollment ID: I20240314001091 |
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