| Sunflower Behavioral Health Services, Llc | |
|
3195 Old Washington Rd 227 Waldorf MD 20602-3201 | |
| (301) 638-7181 | |
| (301) 638-7182 |
| Full Name | Sunflower Behavioral Health Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3195 Old Washington Rd, Waldorf, Maryland |
| Authorized Official Name and Position | Malinda Diann Royster (OWNER) |
| Authorized Official Contact | 3016387181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunflower Behavioral Health Services, Llc 3195 Old Washington Rd Suite 227 Waldorf MD 20602-3201 Ph: (301) 638-7181 | Sunflower Behavioral Health Services, Llc 3195 Old Washington Rd 227 Waldorf MD 20602-3201 Ph: (301) 638-7181 |
| NPI Number | 1487915427 |
|---|---|
| Provider Enumeration Date | 06/06/2012 |
| Last Update Date | 06/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487915427 | NPI | - | NPPES |
| 620400700 | Medicaid | MD | |
| 678917 | Other | MD | MARYLANDVALUEOPTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC0773 (Maryland) | Primary |
| 1041C0700X | Social Worker - Clinical | 12510 (Maryland) | Secondary |
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