GLORIOUS MENTAL THERAPY NPI 1184381543

NPI Information

  • NPI: 1184381543
  • Provider Name: GLORIOUS MENTAL THERAPY
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 19739 EXECUTIVE PARK CIR
    GERMANTOWN, MD
    ZIP 20874
  • Phone: (240) 618-9748

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NPI Details

GLORIOUS MENTAL THERAPY is a mental health counselor in Germantown, MD. GLORIOUS MENTAL THERAPY NPI is 1184381543. The provider is registered as an organization entity type.

The provider's business location address is:

19739 EXECUTIVE PARK CIR
GERMANTOWN, MD
ZIP 20874-642
Phone: (240) 618-9748

The provider's authorized official is Dosis Feludu .
The authorized official title is Vice President and has the following contact phone number (240) 618-9748.

The enumeration date for this NPI number is 11/19/2021 and was last updated on 7/14/2025.

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
1251J00000XNursing CareNo
2261QM0850XClinic/CenterAdult Mental HealthNo
33104A0625XAssisted Living FacilityAssisted Living, Mental IllnessNo
4315D00000XHospice, InpatientNo
5101YM0800XCounselorMental 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: 11/21/2025

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