Organization
SHAKE THE DUST THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE ARORA LCSW-C (RESIDENT AGENT)
(301) 717-8124
Entity
Organization
Contact information
Practice address
11509 SIR SPENCER WAY, GERMANTOWN, MD 20876-6003
(301) 717-8124
Mailing address
267 KENTLANDS BLVD, GAITHERSBURG, MD 20878-5446
(301) 717-8124
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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