# TRI NUE CHANGING LIVES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1528874849
- **Authorized official:** LEVENA OFFER LCADC (CEO)
- **Authorized official phone:** (443) 301-2389

## Contact information

- **Practice address:** 6210 REISTERSTOWN RD, BALTIMORE, MD 21215-3425
- **Practice address phone:** (443) 301-2389
- **Mailing address:** 7747 SPENCER RD, GLEN BURNIE, MD 21060-8241
- **Mailing address phone:** (443) 301-2389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 12/10/2024
- **Last updated:** 12/10/2024