DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LIVE.BALANCED.LIFE.LLC

MEDICARE: LIVE.BALANCED.LIFE.LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorLC6864MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811483761
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIVE.BALANCED.LIFE.LLC
Provider Business Mailing Address
First Line : 6339 TEN OAKS RD STE 300
Second Line :
City : CLARKSVILLE
State : MD
Zip : 21029-1155
Country : US
Telephone Number : 443-904-1817
Fax Number : 410-639-5246
Provider Business Practice Location Address
First Line : 6339 TEN OAKS RD STE 300
Second Line :
City : CLARKSVILLE
State : MD
Zip : 21029-1155
Country : US
Telephone Number : 443-904-1817
Fax Number : 410-639-5246
Authorized Official
Title or Position : CEO
Name : CHRISTINE N WILLIAMS
Credential : LCPC
Telephone Number : 443-904-1817
Provider Enumeration Date : 07/03/2018
Last Update Date : 11/24/2025

Similar Medicare Providers

1164427266 — MR. DAVID J FORBES CRNP
Practice Location Address:
6339 TEN OAKS RD STE 300
CLARKSVILLE, MD
21029-1155
Practice Phone: 443-904-1817
Practice Fax: 410-639-5246
1053737908 — CHRISTINE WILLIAMS
Practice Location Address:
6339 TEN OAKS RD STE 300
CLARKSVILLE, MD
21029-1155
Practice Phone: 443-904-1817
Practice Fax: 410-639-5246
1598564759 — SHEEBA KALAISELVI ABRAHAM
Practice Location Address:
6339 TEN OAKS RD STE 300
CLARKSVILLE, MD
21029-1155
Practice Phone: 443-904-1817
Practice Fax: 410-639-5246
1942001581 — YANA BENYUMOV LCPC
Practice Location Address:
6339 TEN OAKS RD STE 300
CLARKSVILLE, MD
21029-1155
Practice Phone: 443-904-1817
Practice Fax:
1144181561 — LIVE.BALANCED.LIFE.LLC
Practice Location Address:
6339 TEN OAKS RD STE 300
CLARKSVILLE, MD
21029-1155
Practice Phone: 443-904-1817
Practice Fax: 410-639-5246
1801757232 — LIVE.BALANCED.LIFE.LLC
Practice Location Address:
6339 TEN OAKS RD STE 300
CLARKSVILLE, MD
21029-1155
Practice Phone: 443-904-1817
Practice Fax: 410-639-5246

Directions to “LIVE.BALANCED.LIFE.LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.