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Shake The Dust Therapy, Llc
Adolescent and Children Mental Health Clinic/Center in Germantown, Maryland
NPI 1063119014

Shake The Dust Therapy, Llc is an Adolescent and Children Mental Health Clinic/Center based in Gaithersburg, MD and is specialized in Adolescent and Children Mental Health. Shake The Dust Therapy, Llc practices in Germantown, MD. The NPI Number for Shake The Dust Therapy, Llc is 1063119014 and holds a License No. (Maryland).

The current practice location address for Shake The Dust Therapy, Llc is 11509 Sir Spencer Way, Germantown, MD and can be reached out via phone at 301-717-8124. You can also correspond with Shake The Dust Therapy, Llc through the mailing address at 267 KENTLANDS BLVD, GAITHERSBURG, MD - 20878-5446 (mailing address contact number: 301-717-8124).

Location: 11509 Sir Spencer Way, Germantown, MD, 20878-5446
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063119014
Provider Name
Shake The Dust Therapy, Llc
Credential
Provider Entity Type
Organization
Address
11509 Sir Spencer Way, Germantown, MD, 20878-5446
Phone Number
301-717-8124
Fax Number
Provider Enumeration Date
02/09/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
11509 Sir Spencer Way
City
Germantown
State
Maryland
Zip
20876-6003
Phone Number
301-717-8124
Fax Number
person
Provider Business Mailing Address Details
Address
11509 Sir Spencer Way
City
Germantown
State
Maryland
Zip
20876-6003
Phone Number
301-717-8124
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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