| Creating Balanced Lives LLC | |
|
38 Cutter Cove Ct Middle River MD 21220-7509 | |
| (410) 841-8453 | |
| Not Available |
| Full Name | Creating Balanced Lives LLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 38 Cutter Cove Ct, Middle River, Maryland |
| Authorized Official Name and Position | Rachel Thierry (OWNER) |
| Authorized Official Contact | 4108418453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Balanced Lives LLC Po Box 91 Glen Burnie MD 21060-0091 Ph: (410) 793-9731 | Creating Balanced Lives LLC 38 Cutter Cove Ct Middle River MD 21220-7509 Ph: (410) 841-8453 |
| NPI Number | 1124884887 |
|---|---|
| Provider Enumeration Date | 02/21/2024 |
| Last Update Date | 05/25/2026 |
| Certification Date | 05/25/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124884887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Primary |
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