Healthcare Provider Details

I. General information

NPI: 1164201232
Provider Name (Legal Business Name): HEALING CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2023
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1451 ROCKVILLE PIKE STE 250
ROCKVILLE MD
20852-1486
US

IV. Provider business mailing address

1451 ROCKVILLE PIKE STE 250
ROCKVILLE MD
20852-1486
US

V. Phone/Fax

Practice location:
  • Phone: 301-494-8682
  • Fax: 301-709-5996
Mailing address:
  • Phone: 301-494-8682
  • Fax: 301-709-5996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NARGES NIAROJI
Title or Position: CEO
Credential:
Phone: 734-474-2479