| One Alkaline Life Llc | |
|
1036 Saint Nicholas Dr Unit 102 Waldorf MD 20603-4758 | |
| (410) 934-0580 | |
| (410) 834-1217 |
| Full Name | One Alkaline Life Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1036 Saint Nicholas Dr Unit 102, Waldorf, Maryland |
| Authorized Official Name and Position | Karen S Weir (BILLING DIRECTOR) |
| Authorized Official Contact | 8646916244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Alkaline Life Llc 1036 Saint Nicholas Dr Unit 102 Waldorf MD 20603-4758 Ph: (410) 934-0580 | One Alkaline Life Llc 1036 Saint Nicholas Dr Unit 102 Waldorf MD 20603-4758 Ph: (410) 934-0580 |
| NPI Number | 1801777313 |
|---|---|
| Provider Enumeration Date | 09/10/2025 |
| Last Update Date | 09/10/2025 |
| Certification Date | 09/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801777313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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