Healthcare Provider Details

I. General information

NPI: 1891520177
Provider Name (Legal Business Name): RACHEL GROSSMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2024
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8737 COLESVILLE RD STE 700
SILVER SPRING MD
20910-7901
US

IV. Provider business mailing address

8737 COLESVILLE RD STE 700
SILVER SPRING MD
20910-7901
US

V. Phone/Fax

Practice location:
  • Phone: 240-296-5860
  • Fax:
Mailing address:
  • Phone: 240-296-5860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLGP17537
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: