MEDICARE: HOLDING SPACE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	1041C0700X	Clinical Social Worker
2	103TC0700X	Clinical Psychologist
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
4	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1679428478
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLDING SPACE SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 1481
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20773-1481
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	824 AVIS DR
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-2286
Country	:	US
Telephone Number	:	202-247-0279
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	SHANTAE J ELLIOTT
Credential	:	LCPC
Telephone Number	:	202-247-0279

Provider Enumeration Date	:	02/27/2026
Last Update Date	:	04/15/2026

Similar Medicare Providers

1104404995 — SYLEVANUS NKENGAFAC
Practice Location Address:

912 DELRAN PL
UPPER MARLBORO, MD
20774-5717

Practice Phone: 240-486-6804
Practice Fax:

1114473287 — ELIANE NGWEPNGA
Practice Location Address:

13302 BLACK DUCK CT
UPPER MARLBORO, MD
20774-7011

Practice Phone: 202-848-5413
Practice Fax:

1003757618 — SYLVIA BOROKINI
Practice Location Address:

9701 APOLLO DR STE 100
UPPER MARLBORO, MD
20774-4785

Practice Phone: 406-922-8099
Practice Fax: --

1811838444 — DARNIECE CARTER
Practice Location Address:

303 SERENA ST
UPPER MARLBORO, MD
20774-1933

Practice Phone: 202-341-3214
Practice Fax:

1194667519 — MARIAH KAYE FLORES PRICE THOMPSON LGSW
Practice Location Address:

9701 APOLLO DR
UPPER MARLBORO, MD
20774-4783

Practice Phone: 202-909-0356
Practice Fax:

1558216267 — CHANCELINE FEMBE OJONG
Practice Location Address:

2641 SIERRA NEVADA AVE
UPPER MARLBORO, MD
20774-2687

Practice Phone: 240-606-6031
Practice Fax:

Directions to “HOLDING SPACE SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.