TEONNA L WALLOP (NPI# 1548789993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548789993 |
| Entity Type | Individual |
| Full Name | TEONNA L WALLOP |
| Credential | LCPC |
| Practice Address |
1711 Brightwell Ct Waldorf MD 20602-1634 |
| Practice Telephone | 3018501121 |
| Practice Fax Number | 3018501121 |
| Mailing Telephone | 2025809029 |
| Mailing Fax Number | 3018501121 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LC4121 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | D962945 | 05 |
| Street Address |
1711 BRIGHTWELL CT |
| City | WALDORF |
| State | MD |
| Zip Code | 20602-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053664110 | Peace of Mind Therapeutic Services, LLC | Community/Behavioral Health | 1711 Brightwell Ct, Waldorf, MD 20602-1634 | 2012-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
| 1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
| 1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
| 1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1467945030 | Donna Marie Conley-shaw | Behavior Technician | 16 Pagnell Cir, Waldorf, MD 20602 | 2018-06-08 |
| 1811404296 | Loni Berbaum | Speech-Language Pathologist | 4817 Elmley Pl Apt 315, Waldorf, MD 20602 | 2018-01-06 |
| 1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
| 1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
| 1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
| Find all providers in zip 20602 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588279897 | Mary Chinedu Mpi | Counselor | 2187 Forman Ct, Waldorf, MD 20601-5607 | 2020-09-14 |
| 1043833874 | Anthony Bernard Pinkney | Counselor | 3408 Williamsburg Dr, Waldorf, MD 20601-3011 | 2020-05-27 |
| 1497390058 | Bailey, Cross & Davis LLC | Counselor | 2670 Crain Hwy Ste 510, Waldorf, MD 20601-2819 | 2019-11-07 |
| 1578124178 | Baltimore Area Community Health Services LLC | Counselor | 2255 Crain Hwy Ste 106, Waldorf, MD 20601-3186 | 2019-06-25 |
| 1275198475 | H.o.p.e Behavioral Health | Counselor | 3261 Old Washington Rd Ste 3021, Waldorf, MD 20602-3229 | 2019-05-03 |
| 1053801159 | Yameeka Bailey | Counselor | 4227 Quigley Ct, Waldorf, MD 20602-1520 | 2018-05-14 |
| 1831699693 | Lacole A Cole | Counselor | 3195 Old Washington Rd Ste 110, Waldorf, MD 20602-3201 | 2018-02-19 |
| 1386150167 | Project Chesapeake, LLC | Counselor | 21 Industrial Park Dr Ste 104d, Waldorf, MD 20602-2751 | 2017-12-16 |
| 1972028710 | Maria Cocoros | Counselor | 3200 Crain Hwy Ste 203, Waldorf, MD 20603-4841 | 2017-08-12 |
| 1942722970 | Ron C Johnson | Counselor | 11680 Doolittle Dr Ste 103, Waldorf, MD 20602-3802 | 2017-07-11 |
| Find all providers in WALDORF | ||||
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| 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.