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Organization

LIVE.BALANCED.LIFE.LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE N WILLIAMS LCPC (CEO)
(443) 904-1817
Entity
Organization

Contact information

Practice address
6339 TEN OAKS RD STE 300, CLARKSVILLE, MD 21029-1155
(443) 904-1817
(410) 639-5246
Mailing address
6339 TEN OAKS RD STE 300, CLARKSVILLE, MD 21029-1155
(443) 904-1817
(410) 639-5246

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC6864
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
989010600
MD
Enumeration date
07/03/2018
Last updated
11/24/2025
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