Active NPI
Therapeutic Living for Families Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
National Provider Identifier
1265486740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 13484
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407640100 | Medicaid | MD |
Other names 1
- Therapeutic Living for Families
National Provider Directory
National Provider DirectoryLocations
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.