Healthcare Provider Details

I. General information

NPI: 1386570620
Provider Name (Legal Business Name): ANEW BALANCE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5501 TWIN KNOLLS RD STE 107
COLUMBIA MD
21045-3260
US

IV. Provider business mailing address

306 W REDWOOD ST STE 201
BALTIMORE MD
21201-1708
US

V. Phone/Fax

Practice location:
  • Phone: 240-981-9861
  • Fax:
Mailing address:
  • Phone: 240-353-9181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CRYSTAL WHITE
Title or Position: PMHNP-BC
Credential: RN, MSN, CRNP-PMH
Phone: 240-981-9861