institution
Create Your Life, Llc
Professional Counselor in White Plains, Maryland
NPI 1639529407

Create Your Life, Llc is a Professional Counselor based in White Plains, MD and is specialized in Professional. Create Your Life, Llc practices in White Plains, MD. The NPI Number for Create Your Life, Llc is 1639529407 and holds a License No. LC1508 (Maryland).

The current practice location address for Create Your Life, Llc is 10665 Stanhaven Pl Ste 3119, White Plains, MD and can be reached out via phone at 240-448-3711.

Location: 10665 Stanhaven Pl Ste 3119, White Plains, MD, 20695-3055
institution
Provider Profile Details
NPI Number
1639529407
Provider Name
Create Your Life, Llc
Credential
Provider Entity Type
Organization
Address
10665 Stanhaven Pl Ste 3119, White Plains, MD, 20695-3055
Phone Number
240-448-3711
Fax Number
Provider Enumeration Date
06/13/2016
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2132324 01 MD MAMSI
358105 01 MD MHN
60980001 01 DC BLUE CROSS BLUE SHIELD
001437100 05 MD
645523-03 01 MD BLUE CROSS BLUE SHIELD
743688000 01 MD MAGELLEAN
institution
Provider Business Practice Location Address Details
Address
10665 Stanhaven Pl Ste 3119
City
State
Zip
20695-3055
Phone Number
240-448-3711
Fax Number
person
Provider Business Mailing Address Details
Address
10665 Stanhaven Pl Ste 3119
City
State
Zip
20695-3055
Phone Number
240-448-3711
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LC1508 (Maryland)
Definition
Definition to come...
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