Healthcare Provider Details

I. General information

NPI: 1386201721
Provider Name (Legal Business Name): WASHINGTON PSYCHOLOGICAL WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2019
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

845 QUINCE ORCHARD BLVD STE F
GAITHERSBURG MD
20878-1676
US

IV. Provider business mailing address

845 QUINCE ORCHARD BLVD STE F
GAITHERSBURG MD
20878-1676
US

V. Phone/Fax

Practice location:
  • Phone: 301-769-5878
  • Fax:
Mailing address:
  • Phone: 301-769-5878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. LEDA KAVEH
Title or Position: CEO/DIRECTOR
Credential: PSYD
Phone: 301-919-9753