Provider Demographics
NPI:1023763349
Name:PERFECT SOLUTIONS MENTAL HEALTH AND WELLNESS
Entity type:Organization
Organization Name:PERFECT SOLUTIONS MENTAL HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARITY
Authorized Official - Middle Name:
Authorized Official - Last Name:DZIEKETEY
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:301-364-8827
Mailing Address - Street 1:8955 EDMONSTON RD STE E
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-4034
Mailing Address - Country:US
Mailing Address - Phone:301-364-8827
Mailing Address - Fax:
Practice Address - Street 1:8955 EDMONSTON RD STE E
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-4034
Practice Address - Country:US
Practice Address - Phone:301-364-8827
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-15
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)