NPI 1063119014

Shake the Dust Therapy, LLC

Organisation Adult Mental Health Clinic/Center Germantown, MD

Practice location

Address: 11509 Sir Spencer Way, Germantown, MD 20876-6003
Phone: (301) 717-8124
Mailing address: 267 Kentlands Blvd, Gaithersburg, MD 20878-5446

Authorised official

Name: Michele Arora
Title: Resident Agent
Phone: (301) 717-8124

Registered specialties (3)

Adult Mental Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM0850X

Other Clinic/Center providers in Maryland →

Mental Health Clinic/Center (Including Community Mental Health Center)

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Adolescent and Children Mental Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM0855X

Registry record

NPI: 1063119014
Entity type: Organization
NPI issued: 9 Feb 2023
Record last updated: 9 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.