=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932083672
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KATIE PIURA LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/05/2025
-----------------------------------------------------
Last Update Date | 08/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7315 WISCONSIN AVE STE 400W
-----------------------------------------------------
City | BETHESDA
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20814-3224
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-224-2527
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7315 WISCONSIN AVE STE 400W
-----------------------------------------------------
City | BETHESDA
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20814-3224
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-224-2527
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | KATIE PIURA GAITAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 240-224-2527
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------