Organization Active NPI

Functionally Thriving LLC

  • Community/Behavioral Health Agency
  • Lutherville, MD
National Provider Identifier
1083576755
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FUNCTIONALLY THRIVING LLC
Practice address
2345 York Rd Ste 304
Lutherville, MD 21093-2283
Phone
(443) 707-9350
NPI assigned
Dec 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Darielle Davis, BCBA,LBANPI 1487185112
Title
Founder/Clinical Director
Phone
(443) 707-9350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2345 York Rd Ste 304
Lutherville, MD 21093-2283

Mailing address

2345 York Rd Ste 304
Lutherville, MD 21093-2283

National Provider Directory

National Provider Directory

Locations

2345 York Rd
Ste 304
Lutherville, MD 21093
Phone (443) 707-9350

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1083576755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 YORK RD STE 304",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210932283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 YORK RD STE 304",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210932283",
            "telephone_number": "443-707-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONALLY THRIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DARIELLE",
        "authorized_official_title_or_position": "FOUNDER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "443-707-9350",
        "authorized_official_credential": "BCBA,LBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.