| Waverly Center For Psychotherapy, Llc | |
| 
					13708 Captain Marbury Ln Upper Marlboro MD 20772-6118  | |
| (301) 417-5506 | |
| (301) 235-1587 | 
| Full Name | Waverly Center For Psychotherapy, Llc | 
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) | 
| Location | 13708 Captain Marbury Ln, Upper Marlboro, Maryland | 
| Authorized Official Name and Position | Kimberly R Woodard (PRINCIPAL MEMBER) | 
| Authorized Official Contact | 3014175506 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Waverly Center For Psychotherapy, Llc 13708 Captain Marbury Ln Upper Marlboro MD 20772-6118 Ph: (301) 417-5506  | Waverly Center For Psychotherapy, Llc 13708 Captain Marbury Ln Upper Marlboro MD 20772-6118 Ph: (301) 417-5506  | 
| NPI Number | 1700473659 | 
|---|---|
| Provider Enumeration Date | 12/27/2020 | 
| Last Update Date | 12/27/2020 | 
| Certification Date | 12/27/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1700473659 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary | 
Help Is Here Services Unlimited, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Mercantile Ln Ste 234, Upper Marlboro, MD 20774 Phone: 240-396-8086  | |
Stabilizing Behavior Consultations Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4741 Colonel Ashton Pl, Upper Marlboro, MD 20772 Phone: 301-379-9654  | |
Williams-madray Counseling Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14007 Buck Ct, Upper Marlboro, MD 20772 Phone: 301-922-1334 Fax: 301-627-7421  | |
Williams Restoration Of Hope Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Mercantile Ln Ste 200, Upper Marlboro, MD 20774 Phone: 301-740-6034 Fax: 888-740-4113  | |
Masterpiece Behavioral Health Solution, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13332 Burleigh St, Upper Marlboro, MD 20774 Phone: 240-305-2144  | |
Innergy Renewal, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11317 Kettering Cir, Upper Marlboro, MD 20774 Phone: 301-364-8913  | |
Restoring Minds & Hearts, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12302 Percil Ln, Upper Marlboro, MD 20772 Phone: 202-276-3891  |