Provider Demographics
NPI:1528583093
Name:SHAMYLA TAREEN, LLC
Entity Type:Organization
Organization Name:SHAMYLA TAREEN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MENTAL HEALTH THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAMYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAREEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:240-644-2855
Mailing Address - Street 1:8720 GEORGIA AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3612
Mailing Address - Country:US
Mailing Address - Phone:240-507-5474
Mailing Address - Fax:512-428-8100
Practice Address - Street 1:8720 GEORGIA AVE STE 500
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3612
Practice Address - Country:US
Practice Address - Phone:240-507-5474
Practice Address - Fax:512-428-8100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty