OrganizationActive
Expressive Therapy Center, LLC
NPI 1013158310 · Counseling Psychologist · Rockville, MD
Provider details
- NPI number
- 1013158310
- Entity type
- Organization
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Ivan Nalibotsky, Executive Director(301) 838-4112
- License
- 11057 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
14808 Physicians Ln Ste 111
Rockville, MD 20850-3907
Phone: (301) 838-4112
Fax: (301) 838-0623
Approximate (ZIP-level) locationGet directions
Mailing address
13153 Brushwood Way
Potomac, MD 20854-1025
Registry dates
- Enumerated
- 2009-03-16
- Last updated
- 2009-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.