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SHAKE THE DUST THERAPY LLC NPI 1063119014


NPI Information

NPI: 1063119014
Provider Name: SHAKE THE DUST THERAPY, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
11509 SIR SPENCER WAY
GERMANTOWN, MD
ZIP 20876
Phone: (301) 717-8124
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SHAKE THE DUST THERAPY, LLC is an adult mental health clinic center in Germantown, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. SHAKE THE DUST THERAPY, LLC NPI is 1063119014. The provider is registered as an organization entity type.

The provider's business location address is:

11509 SIR SPENCER WAY
GERMANTOWN, MD
ZIP 20876-003
Phone: (301) 717-8124

The provider's authorized official is Michele Arora .
The authorized official title is Resident Agent and has the following contact phone number (301) 717-8124.

The enumeration date for this NPI number is 2/9/2023 and was last updated on 2/9/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.