Healthcare Provider Details

I. General information

NPI: 1336056845
Provider Name (Legal Business Name): TEMPLE'S GARDEN MENTAL WELLNESS & COACHING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18310 MONTGOMERY VILLAGE AVE STE 300
GAITHERSBURG MD
20879
US

IV. Provider business mailing address

19669 BRASSIE PL
GAITHERSBURG MD
20886
US

V. Phone/Fax

Practice location:
  • Phone: 240-780-2002
  • Fax:
Mailing address:
  • Phone: 240-780-2002
  • 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: MRS. NADELL ASURU-ACEY
Title or Position: CLINICAL SOCIAL WORKER/THERAPIST
Credential: LCSW-C
Phone: 240-982-0444