NPIMap

Organization Active NPI

Optimal Life Therapy, LLC

  • Community/Behavioral Health Agency
  • Aberdeen, MD
National Provider Identifier
1457063653
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OPTIMAL LIFE THERAPY, LLC
Practice address
707 Southern Lights Dr
Aberdeen, MD 21001-1249
Phone
(410) 870-9884
Fax
(410) 670-4046
NPI assigned
Dec 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Authorized official

Name
Sabrina Bryant, LCSW-CNPI 1720484900
Title
Owner
Phone
(410) 937-1733

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

707 Southern Lights Dr
Aberdeen, MD 21001-1249

Mailing address

707 Southern Lights Dr
Aberdeen, MD 21001-1249
Phone (410) 937-1733

Other practice location 1

626 Towne Center Dr Ste 206
Joppa, MD 21085-4451
Phone (410) 870-9884

Other names 1

  • Sabrina Bryant LCSW-C Doing business as

National Provider Directory

National Provider Directory

Locations

626 Towne Center Dr
Ste 206
Joppa, MD 21085
Phone (410) 870-9884

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": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1457063653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SOUTHERN LIGHTS DR",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210011249",
            "telephone_number": "410-937-1733",
            "fax_number": "410-670-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 SOUTHERN LIGHTS DR",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210011249",
            "telephone_number": "410-870-9884",
            "fax_number": "410-670-4046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "626 Towne Center Dr Ste 206",
            "address_purpose": "LOCATION",
            "city": "Joppa",
            "state": "MD",
            "postal_code": "210854451",
            "country_code": "US",
            "telephone_number": "410-870-9884",
            "fax_number": "410-670-4046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTIMAL LIFE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-937-1733",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sabrina Bryant LCSW-C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.