Healthcare Provider Details

I. General information

NPI: 1760309678
Provider Name (Legal Business Name): BEHEALTHY WELLNESS COACHING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 CLEWERWALL DR
BETHESDA MD
20817-6906
US

IV. Provider business mailing address

10221 RIVER RD UNIT 59026
POTOMAC MD
20859-7501
US

V. Phone/Fax

Practice location:
  • Phone: 703-789-3651
  • Fax:
Mailing address:
  • Phone: 703-789-3651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: NAWIL GORJI
Title or Position: OWNER
Credential: NBC-HWC
Phone: 703-789-3651