Organization
PARADIGM SHIFT PSYCHOLOGICAL WELLNESS COLLECTIVE PC
Active
Organization
PARADIGM SHIFT PSYCHOLOGICAL WELLNESS COLLECTIVE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELISHIA MARKAYLE PITTMAN PHD (PSYCHOLOGIST AND OWNER)
(202) 930-2134
Entity
Organization
Contact information
Practice address
3703 40TH PL, BRENTWOOD, MD 20722-1610
(602) 628-7008
Mailing address
3703 40TH PL, BRENTWOOD, MD 20722-1610
(602) 628-7008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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