# NAUTICAL BREEZE THERAPY, LLC

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

## Provider details

- **NPI number:** 1861153926
- **Authorized official:** SHANNON HOLMES LCMFT (LMFT)
- **Authorized official phone:** (301) 331-1664

## Contact information

- **Practice address:** 29626 OLD CREEK LN, EASTON, MD 21601-7929
- **Practice address phone:** (301) 331-1664
- **Mailing address:** 29626 OLD CREEK LN, EASTON, MD 21601-7929
- **Mailing address phone:** (301) 331-1664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/31/2021
- **Last updated:** 12/10/2023