Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shake the Dust Therapy, LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1063119014

Shake the Dust Therapy, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Germantown, Maryland. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11509 Sir Spencer Way
Germantown, MD 20876-6003
Phone: (301) 717-8124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1063119014
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Arora — Resident Agent · (301) 717-8124
NPI enumeratedFebruary 9, 2023
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023
Mailing address267 Kentlands Blvd, Gaithersburg, MD 20878-5446

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