Organization Active NPI

Therapeutic Living for Families Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1265486740
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
13484 Issued in MD
Legal business name
THERAPEUTIC LIVING FOR FAMILIES INC.
Doing business as
Therapeutic Living for Families
Practice address
3425 Sinclair LN
Baltimore, MD 21213-2030
Phone
(410) 366-1151
Fax
(410) 366-0035
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Charmaine Nalty, LCSW-C
Title
President
Phone
(410) 366-1151

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 13484 MD Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 10028 MD

Addresses

Primary practice location

3425 Sinclair LN
Baltimore, MD 21213-2030

Mailing address

3425 Sinclair LN
Baltimore, MD 21213-2030
Phone (410) 366-1151

Other identifiers 1

IdentifierTypeStateIssuer
407640100MedicaidMD

Other names 1

  • Therapeutic Living for Families Doing business as

National Provider Directory

National Provider Directory

Locations

3425 Sinclair Ln
#F
Baltimore, MD 21213
Phone (410) 366-1151

1837 Pulaski Hwy
Edgewood, MD 21040
Phone (410) 366-1151

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1265486740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 SINCLAIR LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212132030",
            "telephone_number": "410-366-1151",
            "fax_number": "410-366-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 SINCLAIR LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212132030",
            "telephone_number": "410-366-1151",
            "fax_number": "410-366-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC LIVING FOR FAMILIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "NALTY",
        "authorized_official_first_name": "CHARMAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-366-1151",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "13484",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "10028",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407640100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapeutic Living for Families",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.