Healthcare Provider Details

I. General information

NPI: 1386550945
Provider Name (Legal Business Name): SAVION LAYONNA CALDWELL
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7820 JOHNSON AVE
GLENARDEN MD
20706-1733
US

IV. Provider business mailing address

7820 JOHNSON AVE
GLENARDEN MD
20706-1733
US

V. Phone/Fax

Practice location:
  • Phone: 877-659-4500
  • Fax:
Mailing address:
  • Phone: 877-659-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number0999999999990
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: