Healthcare Provider Details

I. General information

NPI: 1336005123
Provider Name (Legal Business Name): XP THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2025
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG MD
20878-5789
US

IV. Provider business mailing address

13609 LEWISDALE RD
CLARKSBURG MD
20871-9655
US

V. Phone/Fax

Practice location:
  • Phone: 240-750-3370
  • Fax:
Mailing address:
  • Phone: 240-750-3370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: DAVID JUN SELLEH
Title or Position: OWNER
Credential: LCPC, LPC
Phone: 240-750-3370