MEDICARE: ENSPIRE WELLNESS CHRISTIAN THERAPY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1689516684
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENSPIRE WELLNESS CHRISTIAN THERAPY

Provider Business Mailing Address
First Line	:	267 KENTLANDS BLVD # 4071
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20878-5446
Country	:	US
Telephone Number	:	240-597-0497
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 VAN BUREN ST # 121
Second Line	:
City	:	HERNDON
State	:	VA
Zip	:	20170-5348
Country	:	US
Telephone Number	:	240-597-0497
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	SHEA DANIELLE PINES
Credential	:	LMFT
Telephone Number	:	240-597-0497

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “ENSPIRE WELLNESS CHRISTIAN THERAPY ” Practice Location

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