Healthcare Provider Details

I. General information

NPI: 1487417580
Provider Name (Legal Business Name): GAITEE H BEU LCPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2024
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20406 ALDERLEAF TER
GERMANTOWN MD
20874-1156
US

IV. Provider business mailing address

20406 ALDERLEAF TER
GERMANTOWN MD
20874-1156
US

V. Phone/Fax

Practice location:
  • Phone: 301-810-3730
  • Fax: 310-801-3731
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC17267
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: