| Paradigm Integrated Behavioral Health And Wellness Group | |
|
9600 Milestone Way Apt 3053 College Park MD 20740-4273 | |
| (443) 208-0676 | |
| Not Available |
| Full Name | Paradigm Integrated Behavioral Health And Wellness Group |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9600 Milestone Way Apt 3053, College Park, Maryland |
| Authorized Official Name and Position | Bonita Smith (PARTNER/ OWNER) |
| Authorized Official Contact | 3013792792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradigm Integrated Behavioral Health And Wellness Group 12138 Central Ave Ste 163 Bowie MD 20721-1910 Ph: (301) 379-2792 | Paradigm Integrated Behavioral Health And Wellness Group 9600 Milestone Way Apt 3053 College Park MD 20740-4273 Ph: (443) 208-0676 |
| NPI Number | 1871163394 |
|---|---|
| Provider Enumeration Date | 06/28/2021 |
| Last Update Date | 06/28/2021 |
| Certification Date | 06/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871163394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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