# KEY LIFE BALANCE RECOVERY LLC

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

## Provider details

- **NPI number:** 1972487627
- **Authorized official:** LEOPOLDINE TCHAKOUTEU (CEO)
- **Authorized official phone:** (443) 600-8285

## Contact information

- **Practice address:** 7010 GENTLE SHADE RD APT 404, COLUMBIA, MD 21046-3626
- **Practice address phone:** (443) 600-8285
- **Mailing address:** 7010 GENTLE SHADE RD APT 404, COLUMBIA, MD 21046-3626
- **Mailing address phone:** (443) 600-8285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2025
- **Last updated:** 08/05/2025