Pyramid Walden Llc

LBN: Pyramid Walden Llc
Pyramid Walden Llc is an health care organization with primary practice located at 85 High St Suite 4, Waldorf MD 20602-2150. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Pyramid Walden Llc can be contacted via phone (888) 912-7366, or through Hendricks, Jason via phone (814) 940-0407.

Contact Information

Primary practice address
85 High St Suite 4 Waldorf MD 20602-2150
Phone: (888) 912-7366
Fax: (301) 290-0280
Website:
Map and Directions
Authorized official contact:
Name: Hendricks, Jason
Phone: (814) 940-0407

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1306128434
LBN Legal business name Pyramid Walden Llc
DBA Doing business as
Authorized official Hendricks, Jason
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2011
Last updated Apr 10th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306128434 NPPES
Maryland MEDICAID 613202200

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