Healthcare Provider Details

I. General information

NPI: 1164368593
Provider Name (Legal Business Name): GARDEN OF HEARTS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10410 KENSINGTON PKWY STE 113
KENSINGTON MD
20895-2950
US

IV. Provider business mailing address

13907 PALMER HOUSE WAY
SILVER SPRING MD
20904-4857
US

V. Phone/Fax

Practice location:
  • Phone: 202-725-3698
  • Fax:
Mailing address:
  • Phone: 202-725-3698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SOPHIA CARRE
Title or Position: FOUNDER
Credential: LCSW-C, LICSW
Phone: 202-725-3698