REFORMING LIVES (NPI# 1083142335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083142335 |
| Entity Type | Organization |
| Organization Name | REFORMING LIVES |
| Practice Address |
5900 York Rd Ste 108 Baltimore MD 21212-3023 |
| Mailing Address |
1728 Chilton St Baltimore MD 21218-3713 |
| Practice Telephone | 4436827079 |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MRS. SHEENA GREEN (THERAPIST/OWNER) |
| Authorized Official Telephone | 4436827079 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 521607900 | 05 |
| Street Address |
5900 YORK RD STE 108 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21212-3023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497137269 | Candy Carter | Social Worker | 5900 York Rd Ste 108, Baltimore, MD 21212 | 2015-06-29 |
| 1922570316 | Aspire To Change Wellness Services, LLC | Counselor | 5900 York Rd Ste 108, Baltimore, MD 21212-3023 | 2018-12-22 |
| 1265920573 | Transcending Boundaries, LLC | Social Worker | 5900 York Rd Ste 108, Baltimore, MD 21212-3023 | 2018-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935227 | Leigh Anne Tabernero | Counselor | 6600 York Rd Suite 110, Towson, MD 21212 | 2019-08-01 |
| 1245734250 | Jeri Michele Mankye | Counselor | 814 Radnor Ave, Baltimore, MD 21212 | 2018-03-23 |
| 1063910859 | Victory Health Care Services LLC | Clinic/Center | 499c Beaumont Avenue, Suite 18, Baltimore, MD 21212 | 2018-01-26 |
| 1063927622 | Janice Furst | Psychologist | 421 Old Trail, Baltimore, MD 21212 | 2017-12-05 |
| 1689196537 | Huber Rehabilitation Services | Counselor | 500 Woodbourne, Baltimore, MD 21212 | 2017-07-12 |
| 1639608037 | Christina Joy Antolick | Behavior Technician | 1007 Lenton Ave, Baltimore, MD 21212 | 2017-06-08 |
| 1902359979 | Miriam Trader | Speech-Language Pathologist | 500 Overbrook Road, Baltimore, MD 21212 | 2016-07-26 |
| 1053703298 | Cathryne L. Maciolek, Psy.d., LLC | Psychologist | 540 E. Belvedere Avenue, Suite 203, Baltimore, MD 21212 | 2015-02-25 |
| 1891034831 | Ashley Martin | Social Worker | 6401 York Road Third Floor, Towson, MD 21212 | 2013-02-12 |
| 1508149881 | Kelly M Brenan Rothschild | Pathology | 708 Regester Ave, Baltimore, MD 21212 | 2011-09-23 |
| Find all providers in zip 21212 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041008 | Truecare Behavioral Health Systems, Inc | Clinic/Center | 330 E 25th St Ste 101, Baltimore, MD 21218-5359 | 2020-07-28 |
| 1578171088 | Dana Shaw LLC | Clinic/Center | 822 Guilford Ave Ste 802, Baltimore, MD 21202-3707 | 2020-07-21 |
| 1962037291 | Transformed Perspectives | Clinic/Center | 2807 Ailsa Ave, Baltimore, MD 21214-2522 | 2020-03-06 |
| 1013486620 | Tnat Holistic Wellness Center | Clinic/Center | 3221 Belair Rd, Baltimore, MD 21213-1242 | 2018-11-14 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| 1043727183 | Treasure Health Systems, Inc | Clinic/Center | 1900 E Northern Pkwy Ste 301, Baltimore, MD 21239-2111 | 2018-01-10 |
| 1891208484 | Solomon Counseling, LLC | Clinic/Center | 1501 Sulgrave Ave Ste 209, Baltimore, MD 21209-3650 | 2017-11-06 |
| 1952839474 | Ef Mental Health Services, LLC | Clinic/Center | 2107 N Charles St, 1st Floor - Right Side, Baltimore, MD 21218 | 2017-05-28 |
| 1629453261 | Julie D. Lapides, Psy. D., PC | Clinic/Center | 6115 Falls Rd Ste Llb, Baltimore, MD 21209-2450 | 2015-07-24 |
| 1972869394 | Sherman & Associates Services of Standard | Clinic/Center | 4401 Marble Hall Rd, Suite #200, Baltimore, MD 21218-1523 | 2012-04-10 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.