Healthcare Provider Details

I. General information

NPI: 1427814946
Provider Name (Legal Business Name): WHOLISTIC THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2024
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG MD
20878-5789
US

IV. Provider business mailing address

9711 WASHINGTONIAN BLVD STE 550
GAITHERSBURG MD
20878-5789
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 Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DAVID SELLEH
Title or Position: PSYCHOTHERAPIST
Credential: MA, NCC, LCPC, LPC
Phone: 240-750-3370