Organization Active NPI

Live.Balanced.Life.LLC

  • Community/Behavioral Health Agency
  • Clarksville, MD
National Provider Identifier
1144181561
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIVE.BALANCED.LIFE.LLC
Practice address
6339 Ten Oaks Rd Ste 300
Clarksville, MD 21029-1155
Phone
(443) 904-1817
Fax
(410) 639-5246
NPI assigned
Nov 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Authorized official

Name
Christine N Williams, LCPCNPI 1053737908
Title
Ceo
Phone
(443) 904-1817

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

6339 Ten Oaks Rd Ste 300
Clarksville, MD 21029-1155

Mailing address

6339 Ten Oaks Rd Ste 300
Clarksville, MD 21029-1155
Phone (443) 904-1817

National Provider Directory

National Provider Directory
Tax ID family
Livebalancedlifellc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1144181561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 TEN OAKS RD STE 300",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291155",
            "telephone_number": "443-904-1817",
            "fax_number": "410-639-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6339 TEN OAKS RD STE 300",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291155",
            "telephone_number": "443-904-1817",
            "fax_number": "410-639-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE.BALANCED.LIFE.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-904-1817",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.