Healthcare Provider Details

I. General information

NPI: 1841506813
Provider Name (Legal Business Name): PYRAMID WALDEN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2010
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44871 SAINT ANDREWS CHURCH RD
CALIFORNIA MD
20619-7036
US

IV. Provider business mailing address

PO BOX 967
DUNCANSVILLE PA
16635-0967
US

V. Phone/Fax

Practice location:
  • Phone: 301-781-7439
  • Fax:
Mailing address:
  • Phone: 814-940-0407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateMD

VIII. Authorized Official

Name: JASON HENDRICKS
Title or Position: CHEIF EXECUTIVE OFFICER
Credential:
Phone: 814-940-0407