<Unavail>

LBN: Nicola Clarke Wallen Llc
<Unavail> is an health care organization with primary practice located at 3261 Old Washington Rd Ste 2020 , Waldorf MD 20602-3231. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Nicola Clarke Wallen Llc can be contacted via phone (301) 960-8930, or through Clarke Wallen, Nicola via phone (301) 960-8930.

Contact Information

Primary practice address
3261 Old Washington Rd Ste 2020 Waldorf MD 20602-3231
Phone: (301) 960-8930
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clarke Wallen, Nicola PMHNP
Phone: (301) 960-8930

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1609490788
LBN Legal business name Nicola Clarke Wallen Llc
DBA Doing business as <Unavail>
Authorized official Clarke Wallen, Nicola PMHNP
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2020
Last updated Aug 27th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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