| Wondrous Heights Counseling Llc | |
|
13-15 E Deer Park Dr. Ste 101 Gaithersburg MD 20877 | |
| (240) 360-1726 | |
| Not Available |
| Full Name | Wondrous Heights Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 13-15 E Deer Park Dr., Gaithersburg, Maryland |
| Authorized Official Name and Position | Christina Beauzile (DIR OF ADMIN OPERATIONS) |
| Authorized Official Contact | 2027258468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wondrous Heights Counseling Llc 5480 Wisconsin Ave Ste 214b Chevy Chase MD 20815-3530 Ph: (202) 725-8468 | Wondrous Heights Counseling Llc 13-15 E Deer Park Dr. Ste 101 Gaithersburg MD 20877 Ph: (240) 360-1726 |
| NPI Number | 1770145500 |
|---|---|
| Provider Enumeration Date | 07/02/2019 |
| Last Update Date | 08/22/2025 |
| Certification Date | 08/18/2025 |
| Medicare PECOS PAC ID | 5092190314 |
|---|---|
| Medicare Enrollment ID | O20220922000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770145500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Joseph Augustine Zappala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013312834 PECOS PAC ID: 1254655228 Enrollment ID: I20220922000102 |
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