Create Your Life, Llc
LBN: Create Your Life, Llc
Create Your Life, Llc is an health care organization with primary practice located at 5008 Vane Ct Suite 2041, Waldorf MD 20602-1526. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty.
Create Your Life, Llc can be contacted via phone (202) 422-7337, or through Howard, Shannon Darlene via phone (202) 422-7337.
Contact Information
Primary practice address
5008 Vane Ct Suite 2041
Waldorf MD 20602-1526
Phone: (202) 422-7337
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC1508 | Maryland |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | PRC13741 | District of Columbia |
Profile Details
| NPI number | 1639529407 |
|---|---|
| LBN Legal business name | Create Your Life, Llc |
| DBA Doing business as | |
| Authorized official | Howard, Shannon Darlene LCPC, LPC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 13th, 2016 |
| Last updated | Jun 22nd, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639529407 | NPPES |
| Maryland | Other | 2132324 | MAMSI |
| Maryland | MEDICAID | 001437100 | MAMSI |
| Maryland | Other | 743688000 | MAMSI |
| Maryland | Other | 60980001 | MAMSI |
| Maryland | Other | 358105 | MAMSI |
| Maryland | Other | 645523-03 | MAMSI |
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