Pyramid Walden Llc | |
44871 Saint Andrews Church Road California MD 20619 | |
(301) 997-1300 | |
Not Available |
Full Name | Pyramid Walden Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 44871 Saint 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 |
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Pyramid Walden Llc 44871 Saint Andrews Church Road California MD 20619 Ph: () - | Pyramid Walden Llc 44871 Saint Andrews Church Road California MD 20619 Ph: (301) 997-1300 |
NPI Number | 1689313520 |
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Provider Enumeration Date | 05/31/2022 |
Last Update Date | 04/10/2024 |
Certification Date | 04/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689313520 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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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 | |
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