| Synergy Wellness Therapeutic Services | |
|
3195 Old Washington Rd # 227 Waldorf MD 20602-3201 | |
| (240) 461-1305 | |
| Not Available |
| Full Name | Synergy Wellness Therapeutic Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3195 Old Washington Rd # 227, Waldorf, Maryland |
| Authorized Official Name and Position | Deidra Sorrell (OWNER/THERAPIST) |
| Authorized Official Contact | 2403003525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Synergy Wellness Therapeutic Services 11260 Hess Ct Waldorf MD 20601-4961 Ph: (240) 300-3525 | Synergy Wellness Therapeutic Services 3195 Old Washington Rd # 227 Waldorf MD 20602-3201 Ph: (240) 461-1305 |
| NPI Number | 1417517939 |
|---|---|
| Provider Enumeration Date | 06/17/2019 |
| Last Update Date | 06/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417517939 | NPI | - | NPPES |
| 441231100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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