Organization
BE-LIVE-IT THERAPY LLC
Active
Other names
FAMILY INTERVENTION PAARTNERS
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY TATANI (CEO)
(120) 271-8554
Entity
Organization
Contact information
Practice address
1910 N BROADWAY, BALTIMORE, MD 21213-1444
(410) 366-1893
Mailing address
7207 BALTIMORE ANNAPOLIS BLVD, GLEN BURNIE, MD 21061-2684
(141) 076-6730
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
455402703
—
MD
Enumeration date
12/21/2021
Last updated
12/21/2021
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