# GAITHERSBURG MENTAL HEALTH ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1700112083
- **Authorized official:** SUNNY SINGH (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (301) 948-1769

## Contact information

- **Practice address:** 915 RUSSELL AVE, A, GAITHERSBURG, MD 20879-3202
- **Practice address phone:** (301) 948-1769
- **Practice address fax:** (301) 990-7111
- **Mailing address:** 915 RUSSELL AVE, A, GAITHERSBURG, MD 20879-3202
- **Mailing address phone:** (301) 948-1769
- **Mailing address fax:** (301) 990-7111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/21/2009
- **Last updated:** 12/17/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 146691700 | — | MD |