Life Balance Psychiatric Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LIFE BALANCE PSYCHIATRIC SERVICES LLC

Practice address

1301 York Rd Ste 800
Lutherville Timonium, MD 21093-6011

Phone

(410) 800-4909

Fax

(410) 800-4275

NPI assigned

Jul 20, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Mwangi, CRNP-PMHNPI 1932707171

Title

Ceo

Phone

(410) 800-4909

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Mwangi

  • Psychiatric/Mental Health Nurse Practitioner
  • Lutherville Timonium, MD
  • NPI 1932707171
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1013642339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 YORK RD STE 800",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210936011",
            "telephone_number": "410-800-4909",
            "fax_number": "410-800-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 YORK RD STE 800",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210936011",
            "telephone_number": "410-800-4909",
            "fax_number": "410-800-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BALANCE PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "MWANGI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-800-4909",
        "authorized_official_credential": "CRNP-PMH"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Beth Lawhorn, LCSW-C
• Christine Lay, PSYD
• Jane Lee, DDS
• Janice Bloom Levitt, M.S.
• Samuel Liebman, PHD
• Lifebridge Community Physicians, Inc
• Lifebridge Community Physicians, Inc
• Lifebridge Community Physicians, Inc
• Lifebridge Community Physicians, Inc
• Colleen Lindo, CRNP

• Psychiatric/Mental Health Nurse Practitioner in Lutherville Timonium, MD
• Providers in Lutherville Timonium, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.