Healthcare Provider Details

I. General information

NPI: 1710910500
Provider Name (Legal Business Name): GAIA HEALING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8002 DOLLYHYDE RD # B
MOUNT AIRY MD
21771-9408
US

IV. Provider business mailing address

8002 B DOLLY HYDE ROAD
MT. AIRY MD
21771
US

V. Phone/Fax

Practice location:
  • Phone: 301-829-1822
  • Fax: 301-829-9267
Mailing address:
  • Phone: 301-829-1822
  • Fax: 301-829-9267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175L00000X
TaxonomyHomeopath
License NumberD0048275
License Number StateMD

VIII. Authorized Official

Name: DR. MARIANNE ROTHSCHILD
Title or Position: DOCTOR
Credential: M.D.
Phone: 301-829-1822