Healthcare Provider Details

I. General information

NPI: 1336077502
Provider Name (Legal Business Name): TABULA RASA THERAPY, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 OLD GEORGETOWN RD
BETHESDA MD
20814-6100
US

IV. Provider business mailing address

7700 OLD GEORGETOWN RD
BETHESDA MD
20814-6100
US

V. Phone/Fax

Practice location:
  • Phone: 301-771-0692
  • Fax:
Mailing address:
  • Phone: 301-771-0692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. KARLA MCCLURE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 202-841-9565