PYRAMID WALDEN LLC (NPI# 1538696869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538696869 |
| Entity Type | Organization |
| Organization Name | PYRAMID WALDEN LLC |
| Other Organization Name | WALDEN SIERRA INC. - ANCHOR |
| Practice Address |
30007 Business Center Dr Charlotte Hall MD 20622-3101 |
| Practice Telephone | (301) 997-1300 |
| Mailing Telephone | 3019971300 |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2019-12-11 |
| Authorized Official Name | ANNA MCGEE (BILLING MANAGER) |
| Authorized Official Telephone | 3019971300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 231604800 | 05 | |
| MD | 100902 | 05 |
| Other Name | Type Code |
|---|---|
| Walden Sierra Inc. - Anchor | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538723374 | Pyramid Walden LLC | Counselor | 44871 St. Andrews Church Rd., California, MD 20619 | 2019-04-26 |
| 1447851993 | Pyramid Walden LLC | Social Worker | 44863 St Andrews Church Road, California, MD 20619 | 2020-11-02 |
| 1093340408 | Pyramid Walden LLC | Substance Abuse Rehabilitation Facility | 44867 St. Andrews Church Rd., California, MD 20619-2061 | 2020-03-05 |
| 1174869291 | Pyramid Walden LLC | Community/Behavioral Health | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2012-12-18 |
| 1881960821 | Pyramid Walden LLC | Social Worker | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2012-03-23 |
| 1306128434 | Pyramid Walden LLC | Social Worker | 85 High St, Suite 4, Waldorf, MD 20602-2150 | 2011-09-14 |
| Street Address |
30007 BUSINESS CENTER DR |
| City | CHARLOTTE HALL |
| State | MD |
| Zip Code | 20622-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447220702 | Pyramid Walden, LLC | Substance Abuse Rehabilitation Facility | 30007 Business Center Dr, Charlotte Hall, MD 20622 | 2006-01-26 |
| 1841829223 | Shannan N Eaddy | Counselor | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2020-04-07 |
| 1023655388 | Carla Hall | Counselor | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2019-12-05 |
| 1548724040 | Jemill Hester Kollore | Counselor | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2019-01-29 |
| 1457815680 | Emery Myers | Counselor | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2019-01-22 |
| 1568931996 | Elizabeth Morison Orff | Counselor | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2018-11-14 |
| 1760995021 | Siyami Egbase Takha | Nurse Practitioner | 30007 Business Center Dr, Charlotte Hall, MD 20622 | 2017-11-08 |
| 1588174536 | James Matthew Willett | Social Worker | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2017-10-04 |
| 1750800769 | Laura Ebach | Counselor | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2017-09-12 |
| 1154840015 | Paschaun Miller | Social Worker | 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 | 2017-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164075917 | Academy Dental Care LLC | Dentist | 37601 Golden Beach Rd., Charlotte Hall, MD 20622 | 2019-07-22 |
| 1215405824 | Erin Elizabeth Wilkins | Counselor | 30007 Business Center Drive, Charlotte Hall, MD 20622 | 2018-11-13 |
| 1073913646 | Michelle Northam | Counselor | 29958 Killpeck Creek Ct, Charlotte Hall, MD 20622 | 2014-09-02 |
| 1326380486 | Kaveh Zakeri | Radiology | 30077 Business Center Dr, Charlotte Hall, MD 20622 | 2013-03-26 |
| 1235481672 | Dana Kim | Dentist | 29795 Three Notch Rd., Charlotte Hall, MD 20622 | 2012-10-09 |
| 1376714121 | Pediatric Dentistry of Southern Maryland | Dentist | 29795 Three Notch Road, Charlotte Hall, MD 20622 | 2008-03-20 |
| 1407054349 | Shah Associates Md LLC | Internal Medicine | Charlotte Hall Medical Center, 37767 Market Dr. 2nd Floor, Charlotte Hall, MD 20622 | 2007-07-03 |
| 1124245329 | Board of Child Care of The United Methodist Church Inc | Community/Behavioral Health | 30049 Business Center Drive, Charlotte Hall, MD 20622 | 2007-04-19 |
| 1700977345 | Laura R Starks | Physical Therapist | 29770 Three Notch Road, Charlotte Hall, MD 20622 | 2006-09-27 |
| 1659462133 | Coordinated Movements Inc | Physical Therapist | 29770 Three Notch Road Suite 201, Charlotte Hall, MD 20622 | 2006-09-27 |
| Find all providers in zip 20622 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447220702 | Pyramid Walden, LLC | Substance Abuse Rehabilitation Facility | 30007 Business Center Dr, Charlotte Hall, MD 20622 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151066 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 486 Lincoln Dr, Glen Burnie, MD 21060-8706 | 2020-10-15 |
| 1841898434 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 394 Washington Ave, Glen Burnie, MD 21060-8712 | 2020-10-15 |
| 1942808050 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 10 S Broadway, Baltimore, MD 21231-1775 | 2020-10-12 |
| 1396343414 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 15 S Broadway, Baltimore, MD 21231-1714 | 2020-10-12 |
| 1801494984 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8315 Veterans Hwy, Millersville, MD 21108-1421 | 2020-10-12 |
| 1124626296 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 390 Washington Ave, Glen Burnie, MD 21060-8712 | 2020-10-12 |
| 1457968984 | Powell Recovery Center | Substance Abuse Rehabilitation Facility | 22 S Broadway, Baltimore, MD 21231-1711 | 2020-09-29 |
| 1356956676 | The Elysian Fields Optimum Wellness and Mental Health Group, LLC | Substance Abuse Rehabilitation Facility | 2901 Erdman Ave, Baltimore, MD 21213-1139 | 2020-09-14 |
| 1134731284 | Serenity Keepers of Maryland LLC | Substance Abuse Rehabilitation Facility | 3645 Cottage Ave, Baltimore, MD 21215-7725 | 2020-08-20 |
| 1255949392 | Champ House Recovery Inc. | Substance Abuse Rehabilitation Facility | 8655 Normal School Rd, Bowie, MD 20715-3326 | 2020-07-15 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTE HALL |
| Zip Code | 20622 |
Please comment or provide details below to improve the information on PYRAMID WALDEN LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.