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WAVERLY CENTER FOR PSYCHOTHERAPY, LLC
NPI 1700473659
Clinic/Center - Mental Health (Including Community Mental Health Center) in Upper Marlboro, MD

Active since December 27, 2020
13708 CAPTAIN MARBURY LN, UPPER MARLBORO, MD 20772(301) 417-5506(301) 235-1587 Get Directions Write a Review

NPPES record last updated: December 27, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Waverly Center For Psychotherapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAVERLY CENTER FOR PSYCHOTHERAPY, LLC (NPI 1700473659) is a healthcare organization registered as a mental health (including community mental health center) in Upper Marlboro, Maryland and active in the NPI registry since December 2020. The organization lists Kimberly R Woodard, Principal Member, as its authorized official.

NPPES Registry Identity

NPI1700473659
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameWAVERLY CENTER FOR PSYCHOTHERAPY, LLC
Location Address13708 CAPTAIN MARBURY LNUpper Marlboro, MD 20772-6118
Mailing Address13708 Captain Marbury LnUpper Marlboro, MD 20772-6118 · (301) 417-5506 · Fax (301) 235-1587
Phone(301) 417-5506
Fax(301) 235-1587
Organization SubpartNo
Authorized OfficialKimberly R WoodardPrincipal Member · (301) 417-5506
Enumeration DateDecember 27, 2020
NPPES CertifiedDecember 27, 2020
✔ NPI 1700473659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
13708 CAPTAIN MARBURY LN, Upper Marlboro, MD 20772
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY R WOODARD LGPC
Counselor (Professional)
13708 CAPTAIN MARBURY LN
UPPER MARLBORO, MD 20772
Prince George's County (301) 485-9831

Frequently Asked Questions

What is WAVERLY CENTER FOR PSYCHOTHERAPY, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1700473659, enumerated as an "organization" on December 27, 2020.

Where is the provider located?

The provider is located at 13708 CAPTAIN MARBURY LN UPPER MARLBORO, MD 20772 and the phone number is (301) 417-5506.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).