NPI Code Details Logo

NPI 1063240661

NPI 1063240661 : HEALING CLINIC LLC : ROCKVILLE, MD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1063240661
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    HEALING CLINIC LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/24/2024
-----------------------------------------------------
    Last Update Date     |    10/23/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1451 ROCKVILLE PIKE STE 250 
-----------------------------------------------------
    City                 |    ROCKVILLE
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    20852-1486
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    301-494-8682
-----------------------------------------------------
    Fax                  |    301-709-5996
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    429 WINTER WALK DR 
-----------------------------------------------------
    City                 |    GAITHERSBURG
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    20878-7808
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    734-474-2479
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     NARGES  NIAROJI 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    734-474-2479
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.