SHAKE THE DUST THERAPY, LLC
NPI 1063119014
Clinic/Center - Adult Mental Health in Germantown, MD
- Organization
- Clinic/Center
- Adult Mental Health
About SHAKE THE DUST THERAPY, LLC
This page provides the complete NPI Profile along with additional information for Shake The Dust Therapy, Llc, a provider established in Germantown, Maryland operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1063119014 assigned on February 2023. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Michele Arora Lcsw-c (Resident Agent)
- NPI
- 1063119014 Verify this NPI
- Provider Name
- SHAKE THE DUST THERAPY, LLC
- Entity Type
- Organization
- Location Address
- 11509 SIR SPENCER WAY GERMANTOWN, MD 20876
- Location Phone
- (301) 717-8124
- Mailing Address
- 267 KENTLANDS BLVD GAITHERSBURG, MD 20878
- Mailing Phone
- (301) 717-8124
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-09-2023
- Last Update Date
- 02-09-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Adult Mental Health
- Taxonomy Code
- 261QM0850X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063119014, enumerated as an "organization" on February 09, 2023.
The provider is located at 11509 SIR SPENCER WAY GERMANTOWN, MD 20876 and the phone number is (301) 717-8124.
Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.
