| Pyramid Walden, Llc | |
|
44867 St. Andrews Church Road California MD 20619 | |
| (301) 997-1300 | |
| (301) 863-3368 |
| Full Name | Pyramid Walden, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 44867 St. Andrews Church Road, California, Maryland |
| Authorized Official Name and Position | Jason Hendricks (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8149400407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pyramid Walden, Llc 30007 Business Center Dr Charlotte Hall MD 20622-3101 Ph: (301) 997-1300 | Pyramid Walden, Llc 44867 St. Andrews Church Road California MD 20619 Ph: (301) 997-1300 |
| NPI Number | 1659603322 |
|---|---|
| Provider Enumeration Date | 02/05/2010 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659603322 | NPI | - | NPPES |
| 7800355-01 | Medicaid | MD | |
| 745188101 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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Pyramid Walden, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 44871 St. Andrews Church Road, California, MD 20619 Phone: 301-997-1300 | |
The Faith Solution Of The Dmv Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22685 Three Notch Rd Ste 201, California, MD 20619 Phone: 240-431-0467 | |
Vesta Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22685 Three Notch Rd Ste 200, California, MD 20619 Phone: 301-863-4543 Fax: 301-863-4542 | |
Personalized Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22593 Three Notch Rd, California, MD 20619 Phone: 301-862-2505 Fax: 301-862-2548 |