Healthcare Provider Details

I. General information

NPI: 1518821339
Provider Name (Legal Business Name): GANGLOFF THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 WILLIAMSBURG DR
SILVER SPRING MD
20901-2728
US

IV. Provider business mailing address

407 WILLIAMSBURG DR
SILVER SPRING MD
20901-2728
US

V. Phone/Fax

Practice location:
  • Phone: 301-284-8466
  • Fax:
Mailing address:
  • Phone: 301-284-8466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ARIANA GANGLOFF
Title or Position: OWNER
Credential: LCPC, LCPAT, ATR-BC
Phone: 301-284-8466