| Watershed Practice, Llc | |
|
4405 E West Hwy Ste 411 Bethesda MD 20814-4535 | |
| (717) 478-8334 | |
| Not Available |
| Full Name | Watershed Practice, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4405 E West Hwy Ste 411, Bethesda, Maryland |
| Authorized Official Name and Position | Calleen Trevenen (PARTNER) |
| Authorized Official Contact | 7174788334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Watershed Practice, Llc 2325 N Calvert St Baltimore MD 21218-5202 Ph: (717) 478-8334 | Watershed Practice, Llc 4405 E West Hwy Ste 411 Bethesda MD 20814-4535 Ph: (717) 478-8334 |
| NPI Number | 1487591251 |
|---|---|
| Provider Enumeration Date | 04/30/2026 |
| Last Update Date | 04/30/2026 |
| Certification Date | 04/30/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487591251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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