Organization · Type 2 NPI
Shake the Dust Therapy, LLC
Adult Mental Health Clinic/Center · Germantown, MD
NPI number
1063119014
Active
Practice location
11509 Sir Spencer Way
Germantown, MD 20876-6003
Mailing address
267 Kentlands Blvd
Gaithersburg, MD 20878-5446
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Another provider at this address
Other adult mental health clinic/center providers in Germantown
About NPI 1063119014
Shake the Dust Therapy, LLC's National Provider Identifier is 1063119014, issued on Feb 9, 2023. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Germantown, MD. The record was last updated on Feb 9, 2023.