Healthcare Provider Details

I. General information

NPI: 1972414241
Provider Name (Legal Business Name): INTERBEING THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10013 KINROSS AVE
SILVER SPRING MD
20901-2216
US

IV. Provider business mailing address

306 W REDWOOD ST STE 201
BALTIMORE MD
21201-1708
US

V. Phone/Fax

Practice location:
  • Phone: 626-354-3944
  • Fax:
Mailing address:
  • Phone: 626-354-3944
  • 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: TANORY ATEEK
Title or Position: FOUNDER
Credential: LCSW-C
Phone: 626-354-3944