# GEMINI HEALTH HOLDINGS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487280087
- **Authorized official:** STACI POWELL DO (MANAGER)
- **Authorized official phone:** (301) 706-8767

## Contact information

- **Practice address:** 1704 BACK ACRE CIR, MOUNT AIRY, MD 21771-7768
- **Practice address phone:** (301) 703-8767
- **Practice address fax:** (301) 703-8886
- **Mailing address:** 2702 BACK ACRE CIR STE 290B2702, MOUNT AIRY, MD 21771-7769
- **Mailing address phone:** (301) 703-8767
- **Mailing address fax:** (301) 703-8886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | NULL | Yes |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | — | Yes |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | — |

## Other

- **Enumeration date:** 03/16/2020
- **Last updated:** 03/16/2020