Healthcare Provider Details

I. General information

NPI: 1972458685
Provider Name (Legal Business Name): 5-STAR THERAPY AND FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9811 ROBINSON BLVD
LAUREL MD
20723-1735
US

IV. Provider business mailing address

18310 MONTGOMERY VILLAGE AVE STE 300
GAITHERSBURG MD
20879-3552
US

V. Phone/Fax

Practice location:
  • Phone: 240-813-3083
  • Fax:
Mailing address:
  • Phone: 240-813-3083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. DIANA CASTELLON
Title or Position: OWNER
Credential: LCSW-C
Phone: 240-813-3083