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CREATE YOUR LIFE, LLC
NPI 1639529407
Counselor - Professional in White Plains, MD

Active since June 13, 2016
10665 STANHAVEN PL STE 3119, WHITE PLAINS, MD 20695(240) 448-3711 Get Directions Write a Review

NPPES record last updated: November 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2016, Jun 13, 2016 (2 updates tracked since 2016).

About Create Your Life, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREATE YOUR LIFE, LLC (NPI 1639529407) is a healthcare organization registered as a professional in White Plains, Maryland and active in the NPI registry since June 2016. The organization lists Shannon Darlene Howard, Lic.clin. Prof. Counselor, as its authorized official.

NPPES Registry Identity

NPI1639529407
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameCREATE YOUR LIFE, LLC
Location Address10665 STANHAVEN PL STE 3119White Plains, MD 20695-3055
Mailing Address10665 Stanhaven Pl Ste 3119White Plains, MD 20695-3055 · (240) 448-3711
Phone(240) 448-3711
Organization SubpartNo
Authorized OfficialShannon Darlene HowardLic.clin. Prof. Counselor · (202) 422-7337
Enumeration DateJune 13, 2016
Last NPPES UpdateNovember 2, 20242 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
✔ NPI 1639529407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in MD · LC1508✔ Licensed in DC · PRC13741
10665 STANHAVEN PL STE 3119, White Plains, MD 20695
Open in Google Maps ↗

Other Identifiers 6

Other2132324MD · Mamsi
Other358105MD · Mhn
Other60980001DC · Blue Cross Blue Shield
Medicaid001437100MD
Other645523-03MD · Blue Cross Blue Shield
Other743688000MD · Magellean

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREA MICHELLE WILLIAMS PSYD
Psychologist (Clinical)
10665 STANHAVEN PL STE 3119
WHITE PLAINS, MD 20695
Charles County (301) 202-3739
SHANNON HOWARD
Counselor (Professional)
10665 STANHAVEN PL STE 3119
WHITE PLAINS, MD 20695
Charles County (240) 448-3711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Create Your Life, LLC's NPI number?

The NPI number for Create Your Life, LLC is 1639529407. It was assigned to this organization in the NPPES registry on June 13, 2016.

Where is Create Your Life, LLC located?

Create Your Life, LLC is located at 10665 Stanhaven Pl Ste 3119, White Plains, MD 20695. The listed phone number is (240) 448-3711.

What is Create Your Life, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Create Your Life, LLC was last updated on November 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.