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Organization
SYNERGY WELLNESS THERAPEUTIC SERVICES
Active
Organization
SYNERGY WELLNESS THERAPEUTIC SERVICES
Active
Other names
Synergy Wellness Therapeutic Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEIDRA SORRELL LCPC (OWNER/THERAPIST)
(240) 300-3525
Entity
Organization
Contact information
Practice address
3195 OLD WASHINGTON RD # 227, WALDORF, MD 20602-3201
(240) 461-1305
Mailing address
11260 HESS CT, WALDORF, MD 20601-4961
(240) 300-3525
(240) 523-8425
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
441231100
—
MD
Enumeration date
06/17/2019
Last updated
06/17/2019
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