# KINETIC BALANCE COLLECTIVE

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

## Provider details

- **NPI number:** 1558285916
- **Authorized official:** KASSANDRA IRENE BUTLER (PRESIDENT AND LCPC)
- **Authorized official phone:** (407) 492-3450

## Contact information

- **Practice address:** 3201 FLUVIAL LN APT 406, LAUREL, MD 20724-1396
- **Practice address phone:** (443) 455-1958
- **Mailing address:** 10490 LITTLE PATUXENT PKWY STE 600, COLUMBIA, MD 21044-4941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 08/07/2026
- **Last updated:** 10/06/2026