Wondrous Heights Counseling Llc | |
7825 Tuckerman Ln Ste 209 Potomac MD 20854-3241 | |
(240) 645-8575 | |
Not Available |
Full Name | Wondrous Heights Counseling Llc |
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Speciality | Social Worker |
Location | 7825 Tuckerman Ln Ste 209, Potomac, Maryland |
Authorized Official Name and Position | Christina Beauzile (OPERATIONS DIRECTOR) |
Authorized Official Contact | 2027258468 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wondrous Heights Counseling Llc 12610 Eastbourne Dr Silver Spring MD 20904-2041 Ph: (202) 725-8468 | Wondrous Heights Counseling Llc 7825 Tuckerman Ln Ste 209 Potomac MD 20854-3241 Ph: (240) 645-8575 |
NPI Number | 1770145500 |
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Provider Enumeration Date | 07/02/2019 |
Last Update Date | 07/02/2019 |
Medicare PECOS PAC ID | 5092190314 |
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Medicare Enrollment ID | O20220922000073 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770145500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Joseph Augustine Zappala |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013312834 PECOS PAC ID: 1254655228 Enrollment ID: I20220922000102 |
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