| Pyramid Walden Llc | |
|
85 High St Suite 4 Waldorf MD 20602-2150 | |
| (888) 912-7366 | |
| (301) 290-0280 |
| Full Name | Pyramid Walden Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 85 High St, Waldorf, Maryland |
| Authorized Official Name and Position | Jason Hendricks (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8149400407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pyramid Walden Llc 30007 Business Center Dr Charlotte Hall MD 20622-3101 Ph: (301) 997-1300 | Pyramid Walden Llc 85 High St Suite 4 Waldorf MD 20602-2150 Ph: (888) 912-7366 |
| NPI Number | 1306128434 |
|---|---|
| Provider Enumeration Date | 09/14/2011 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306128434 | NPI | - | NPPES |
| 613202200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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