Organization
GLORIOUS MENTAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOSIS FELUDU (VICE PRESIDENT)
(240) 618-9748
Entity
Organization
Contact information
Practice address
19739 EXECUTIVE PARK CIR, GERMANTOWN, MD 20874-2642
(240) 618-9748
Mailing address
112 MISTY DALE WAY, GAITHERSBURG, MD 20877-1802
(240) 618-9748
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251J00000X
Nursing Care Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
315D00000X
Inpatient Hospice
—
—
Other
Enumeration date
11/19/2021
Last updated
07/14/2025
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