Healthcare Provider Details

I. General information

NPI: 1114835717
Provider Name (Legal Business Name): ECHOBLOOM COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9715 MEDICAL CENTER DR STE 528
ROCKVILLE MD
20850-3352
US

IV. Provider business mailing address

306 W REDWOOD ST STE 202
BALTIMORE MD
21201-1708
US

V. Phone/Fax

Practice location:
  • Phone: 240-203-7906
  • Fax:
Mailing address:
  • Phone: 240-203-7906
  • 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: PRIYA GILL
Title or Position: MENTAL HEALTH THERAPIST
Credential: LCPC
Phone: 240-203-7906