Synergy Wellness Therapeutic Services

LBN: Synergy Wellness Therapeutic Services
Synergy Wellness Therapeutic Services is an health care organization with primary practice located at 3195 Old Washington Rd # 227 , Waldorf MD 20602-3201. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Synergy Wellness Therapeutic Services can be contacted via phone (240) 461-1305, or through Sorrell, Deidra via phone (240) 300-3525.

Contact Information

Primary practice address
3195 Old Washington Rd # 227 Waldorf MD 20602-3201
Phone: (240) 461-1305
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sorrell, Deidra LCPC
Phone: (240) 300-3525

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1417517939
LBN Legal business name Synergy Wellness Therapeutic Services
DBA Doing business as
Authorized official Sorrell, Deidra LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2019
Last updated Jun 17th, 2019 - about 7 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 1417517939 NPPES
Maryland MEDICAID 441231100

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