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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