Theodora Adedeji, | |
1 Research Ct, Rockville, MD 20850-3221 | |
(301) 259-5359 | |
(301) 246-6523 |
Full Name | Theodora Adedeji |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1 Research Ct, Rockville, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437717246 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PRC13603 (District Of Columbia) | Secondary |
101YP2500X | Counselor - Professional | LC3148 (Maryland) | Primary |
Entity Name | Integrated Wellness Haven Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538935812 PECOS PAC ID: 5294170254 Enrollment ID: O20240229001102 |
Mailing Address | Practice Location Address |
---|---|
Theodora Adedeji, 1 Research Ct Ste 450, Rockville, MD 20850-6252 Ph: (301) 259-5359 | Theodora Adedeji, 1 Research Ct, Rockville, MD 20850-3221 Ph: (301) 259-5359 |
Mr. Jeff Shinal, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 966 Hungerford Dr, Suite 14a, Rockville, MD 20850 Phone: 703-585-1066 Fax: 703-771-4022 | |
Ersilia Bostian, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 W Montgomery Ave, Suite 320, Rockville, MD 20850 Phone: 301-678-3385 | |
Ms. Elana Woolf, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 966 Hungerford Dr # 7a, Rockville, MD 20850 Phone: 202-686-5834 | |
Mrs. Patricia Gillen Doane, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 9807 Veirs Dr Apt 301, Rockville, MD 20850 Phone: 240-464-8294 Fax: 301-983-1953 | |
Denine Rachelle Bowman, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Courthouse Sq, Suite 202, Rockville, MD 20850 Phone: 301-424-6955 | |
Ms. Stacey Ann Rowcliffe, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 100 1st St Apt 425, Rockville, MD 20851 Phone: 406-671-4270 | |
Mr. Freydun Fred Goudarznia, MA LCPC Counselor Medicare: Medicare Enrolled Practice Location: 932 Hungerford Dr, Rockville, MD 20850 Phone: 240-393-6720 |