Organization
SHAKTI THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY ANN AGUIRRE MSW, MPH (OWNER/PSYCHOTHERAPIST)
(678) 995-3559
Entity
Organization
Contact information
Practice address
1638 R ST NW STE 313, WASHINGTON, DC 20009-6481
(202) 821-6082
Mailing address
5503 43RD AVE, HYATTSVILLE, MD 20781-1906
(202) 821-6082
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/23/2022
Last updated
03/15/2024
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