Provider Demographics
NPI:1063259711
Name:HEURISTIC THERAPEUTIC SERVICES, LLC
Entity type:Organization
Organization Name:HEURISTIC THERAPEUTIC SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SONALI
Authorized Official - Middle Name:G
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC-S
Authorized Official - Phone:240-550-9720
Mailing Address - Street 1:11510 GEORGIA AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-1959
Mailing Address - Country:US
Mailing Address - Phone:240-550-9720
Mailing Address - Fax:
Practice Address - Street 1:11510 GEORGIA AVE STE 206
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-1959
Practice Address - Country:US
Practice Address - Phone:240-550-9720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation