| Patuxent Counseling And Consulting, Llc | |
|
6700 Alexander Bell Dr Ste 200 Columbia MD 21046-2105 | |
| (443) 621-5355 | |
| Not Available |
| Full Name | Patuxent Counseling And Consulting, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 6700 Alexander Bell Dr Ste 200, Columbia, Maryland |
| Authorized Official Name and Position | Adona Wimberly (PSYCHOLOGIST/ CEO /FOUNDER) |
| Authorized Official Contact | 4436215355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patuxent Counseling And Consulting, Llc 6700 Alexander Bell Dr Ste 200 Columbia MD 21046-2105 Ph: (443) 621-5355 | Patuxent Counseling And Consulting, Llc 6700 Alexander Bell Dr Ste 200 Columbia MD 21046-2105 Ph: (443) 621-5355 |
| NPI Number | 1730839192 |
|---|---|
| Provider Enumeration Date | 03/28/2022 |
| Last Update Date | 03/28/2022 |
| Certification Date | 03/28/2022 |
| Medicare PECOS PAC ID | 6204210933 |
|---|---|
| Medicare Enrollment ID | O20220830002731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730839192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Adona I Wimberly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750597589 PECOS PAC ID: 3678664612 Enrollment ID: I20070911000583 |
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