Healthcare Provider Details
I. General information
NPI: 1144143108
Provider Name (Legal Business Name): TEMPLE'S GARDEN MENTAL WELLNESS & COACHING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/04/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
19669 BRASSIE PL
GAITHERSBURG MD
20886-1911
US
IV. Provider business mailing address
19669 BRASSIE PL
MONTGOMERY VILLAGE MD
20886-1911
US
V. Phone/Fax
- Phone: 240-780-2002
- Fax:
- Phone: 240-780-2002
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
NADELL
JOCELYN
ASURU-ACEY
Title or Position: CLINICAL SOCIAL WORKER/THERAPIST
Credential: LCSW-C
Phone: 240-982-0444