Creating Balanced Lives LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Middle River, MD. Organization (NPI-2).
NPI number1124884887
StatusActive
Last updated in NPPESMay 25, 2026
Details
- NPI
- 1124884887
- Entity type
- Organization (NPI-2)
- Legal business name
- Creating Balanced Lives LLC
- Organization subpart
- No
- Enumeration date
- Feb 21, 2024
- Certification date
- May 25, 2026
- Last updated
- May 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
38 Cutter Cove CtMiddle River, MD 21220-7509
Phone 410-841-8453
Mailing address
Po Box 91Glen Burnie, MD 21060-0091
Phone 410-793-9731
Authorized official
Rachel Thierry
Owner
4108418453
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