Healthcare Provider Details

I. General information

NPI: 1780540963
Provider Name (Legal Business Name): SOCO DESIGNS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2025
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 HYDE RD
SILVER SPRING MD
20902-3048
US

IV. Provider business mailing address

804 HYDE RD
SILVER SPRING MD
20902-3048
US

V. Phone/Fax

Practice location:
  • Phone: 240-705-4824
  • Fax:
Mailing address:
  • Phone: 240-705-4824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: SORAH COHEN
Title or Position: OWNER
Credential:
Phone: 240-705-4824