LIFE THERAPY SPECIALISTS OF MD, LLC (NPI# 1114225810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114225810 |
| Entity Type | Organization |
| Organization Name | LIFE THERAPY SPECIALISTS OF MD, LLC |
| Practice Address |
1927a York Rd Lutherville MD 21093-4225 |
| Practice Telephone | 4434174243 |
| Practice Fax Number | 3152450352 |
| Mailing Telephone | 4434174243 |
| Mailing Fax Number | 3152450352 |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |
| Authorized Official Name | MARIE E MASTRACCO (PRESIDENT) |
| Authorized Official Telephone | 4434174243 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LC2273 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 922801200 | 05 |
| Street Address |
1927A YORK RD |
| City | LUTHERVILLE |
| State | MD |
| Zip Code | 21093-4225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053538926 | Marie E Mastracco | Counselor | 1927a York Rd, Rear Building, Lutherville, MD 21093-4225 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
| 1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
| 1275001455 | Hannah Michele Breckenridge | Social Worker | 1212 York Rd Ste A302, Lutherville, MD 21093 | 2018-11-06 |
| 1386111573 | Christina Calabrese | Social Worker | Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-10-26 |
| 1790279735 | Synopsis Healthscience | Internal Medicine | 19 Huntress Ct, Timonium, MD 21093 | 2018-06-21 |
| 1134648629 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1312 Bellona Ave Ste 302, Lutherville, MD 21093 | 2017-09-15 |
| 1134647746 | Andrea Stokes Rackowski | Social Worker | 1400 Front Ave. Suite 305, Lutherville, MD 21093 | 2017-09-03 |
| 1790200780 | Judson Franklin Force Jr. | Pediatrics | 309 Overlook Dr, Timonium, MD 21093 | 2017-08-10 |
| 1942722053 | Eundae Suk | Chiropractor | 1407 York Rd Ste 302, Lutherville, MD 21093 | 2017-07-10 |
| 1508301482 | Bh Brightview Mays Chapel Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 12261 Roundwood Road, Timonium, MD 21093 | 2016-12-30 |
| Find all providers in zip 21093 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255738860 | Emily Curran | Counselor | 1802 Blakefield Cir, Lutherville, MD 21093-4405 | 2014-11-25 |
| 1366593998 | Michael James Drummond | Counselor | 1706 Division Ave, Lutherville, MD 21093-5304 | 2007-01-12 |
| 1922181098 | Sara Dumaine Brouillet | Counselor | 34 Wandsworth Bridge Way, Lutherville, MD 21093-3961 | 2006-10-23 |
| 1720694078 | Nia Jones | Counselor | 1206 York Rd Ste 202, Lutherville, MD 21093-6217 | 2020-09-22 |
| 1558824144 | Sarah Sloane Donovan | Counselor | 1447 York Rd Ste 701, Lutherville, MD 21093-6089 | 2019-04-10 |
| 1700396983 | Sam Leung-sang Chan | Counselor | 1447 York Rd Ste 802, Lutherville, MD 21093-6017 | 2017-10-02 |
| 1609315761 | Cassidy Demos | Counselor | 101 W Ridgely Rd Ste 8a, Lutherville, MD 21093-5124 | 2017-02-21 |
| 1861944803 | Catherine Klein | Counselor | 120 W Seminary Ave, Lutherville, MD 21093-5523 | 2016-10-25 |
| 1922367879 | Marci Ann Rolker | Counselor | 101 W Ridgely Rd, Suite 8a, Lutherville, MD 21093-5101 | 2012-05-14 |
| 1164709390 | Roy Mark Taylor | Counselor | 1300 York Rd Ste C300, Lutherville, MD 21093-6028 | 2011-11-16 |
| Find all providers in LUTHERVILLE | ||||
| City | LUTHERVILLE |
| Zip Code | 21093 |
Please comment or provide details below to improve the information on LIFE THERAPY SPECIALISTS OF MD, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.