SYNERGY WELLNESS THERAPEUTIC SERVICES (NPI# 1417517939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417517939 |
| Entity Type | Organization |
| Organization Name | SYNERGY WELLNESS THERAPEUTIC SERVICES |
| Practice Address |
3195 Old Washington Rd # 227 Waldorf MD 20602-3201 |
| Mailing Address |
11260 Hess Ct Waldorf MD 20601-4961 |
| Practice Telephone | 2404611305 |
| Mailing Telephone | 2403003525 |
| Mailing Fax Number | 2405238425 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| Authorized Official Name | DR. DEIDRA SORRELL (OWNER/THERAPIST) |
| Authorized Official Telephone | 2403003525 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 441231100 | 05 |
| Other Name | Type Code |
|---|---|
| Synergy Wellness Therapeutic Services | Doing Business As Name - Organization |
| Street Address |
3195 OLD WASHINGTON RD # 227 |
| City | WALDORF |
| State | MD |
| Zip Code | 20602-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
| 1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
| 1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
| 1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1467945030 | Donna Marie Conley-shaw | Behavior Technician | 16 Pagnell Cir, Waldorf, MD 20602 | 2018-06-08 |
| 1811404296 | Loni Berbaum | Speech-Language Pathologist | 4817 Elmley Pl Apt 315, Waldorf, MD 20602 | 2018-01-06 |
| 1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
| 1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
| 1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
| Find all providers in zip 20602 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609360445 | Anoetus LLC | Clinic/Center | 101 Paul Mellon Ct Ste 5, Waldorf, MD 20602-2761 | 2018-06-15 |
| 1598934630 | Melwood | Clinic/Center | 12705 Country Ln, Waldorf, MD 20601-3399 | 2008-02-22 |
| 1811001563 | Mendelis Mental Health Center | Clinic/Center | 11315 Pembrooke Square Medical Center, Suite 112, Waldorf, MD 20603 | 2006-08-19 |
| 1609490788 | Nicola Clarke Wallen LLC | Clinic/Center | 3261 Old Washington Rd Ste 2020, Waldorf, MD 20602-3231 | 2020-06-03 |
| 1750920294 | Dynamic Counseling Group | Clinic/Center | 3195 Old Washington Rd Ste 110, Waldorf, MD 20602-3201 | 2020-01-02 |
| 1407314420 | Dillard & Associates, LLC | Clinic/Center | 3261 Old Washington Rd Ste 2020, Waldorf, MD 20602-3231 | 2019-03-08 |
| 1033603196 | D Allen and Davis Community Counseling Center, LLC | Clinic/Center | 2670 Crain Hwy Ste 401, Waldorf, MD 20601-2818 | 2018-06-21 |
| 1609365097 | Bowen Psychological Services, LLC | Clinic/Center | 3200 Crain Hwy, Waldorf, MD 20603-4841 | 2018-05-01 |
| 1518469394 | Project Chesapeake, LLC | Clinic/Center | 21 Industrial Park Dr Ste 104d, Waldorf, MD 20602-2751 | 2018-03-07 |
| 1932525896 | Tri-county Youth Services Bureau, Inc. | Clinic/Center | 75 Industrial Park Dr, Waldorf, MD 20602-2708 | 2014-03-14 |
| Find all providers in WALDORF | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.