Organization
WELLBROOK BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY WAIBOGHA LCSW-C (CEO)
(304) 322-0275
Entity
Organization
Contact information
Practice address
5764 STEVENS FOREST RD APT 322, COLUMBIA, MD 21045-3758
(410) 935-5177
(410) 695-3778
Mailing address
5764 STEVENS FOREST RD APT 322, COLUMBIA, MD 21045-3758
(410) 935-5177
(410) 695-3778
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
04/04/2023
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