# MIND BODY AND BALANCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457381618
- **Authorized official:** MS. CHRISTINE L LEORE LCPC LCADC MA (PRESIDENT)
- **Authorized official phone:** (410) 526-5387

## Contact information

- **Practice address:** 324 MAIN STREET, 2ND FL, REISTERSTOWN, MD 21136
- **Practice address phone:** (410) 526-5387
- **Practice address fax:** (410) 526-9834
- **Mailing address:** 324 MAIN STREET, 2ND FL, REISTERSTOWN, MD 21136
- **Mailing address phone:** (410) 526-5387
- **Mailing address fax:** (410) 526-9834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | LC0033 | MD | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 08/22/2020