# PYRAMID WALDEN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689313520
- **Authorized official:** JASON HENDRICKS (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (814) 940-0407

## Contact information

- **Practice address:** 44871 SAINT ANDREWS CHURCH ROAD, CALIFORNIA, MD 20619
- **Practice address phone:** (301) 997-1300
- **Mailing address:** 44871 SAINT ANDREWS CHURCH ROAD, CALIFORNIA, MD 20619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/31/2022
- **Last updated:** 04/10/2024