| Sherwood Behavioral Health Llc | |
|
7350 Van Dusen Rd Ste 340 Laurel MD 20707-5264 | |
| (410) 929-5337 | |
| Not Available |
| Full Name | Sherwood Behavioral Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7350 Van Dusen Rd Ste 340, Laurel, Maryland |
| Authorized Official Name and Position | Sidney Maduforo (PROVIDER) |
| Authorized Official Contact | 6266332128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sherwood Behavioral Health Llc 7350 Van Dusen Rd Ste 340 Laurel MD 20707-5264 Ph: (410) 929-5337 | Sherwood Behavioral Health Llc 7350 Van Dusen Rd Ste 340 Laurel MD 20707-5264 Ph: (410) 929-5337 |
| NPI Number | 1275230823 |
|---|---|
| Provider Enumeration Date | 02/14/2023 |
| Last Update Date | 02/14/2023 |
| Certification Date | 02/14/2023 |
| Medicare PECOS PAC ID | 2365817954 |
|---|---|
| Medicare Enrollment ID | O20230413000525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275230823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Sidney Maduforo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528679941 PECOS PAC ID: 3274908868 Enrollment ID: I20230413000614 |
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