| Pyramid Walden, Llc | |
|
21770 Fdr Blvd Lexington Park MD 20653-1558 | |
| (301) 997-1300 | |
| (301) 290-0280 |
| Full Name | Pyramid Walden, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 21770 Fdr Blvd, Lexington Park, Maryland |
| Authorized Official Name and Position | Jason Hendricks (CHEIF 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 21770 Fdr Blvd Lexington Park MD 20653-1558 Ph: (301) 997-1300 |
| NPI Number | 1841506813 |
|---|---|
| Provider Enumeration Date | 08/27/2010 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841506813 | NPI | - | NPPES |
| 613202202 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (Maryland) | Primary |
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