1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Counselor
  6. NPI Profile

LIFE SPAN GROUP LLC
NPI 1679390835
Counselor - Mental Health in Baltimore, MD

Active since September 20, 2024
23 PIERSIDE DR APT 237, BALTIMORE, MD 21230(443) 208-6156 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Life Span Group Llc NPPES

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

LIFE SPAN GROUP LLC (NPI 1679390835) is a healthcare organization registered as a mental health in Baltimore, Maryland and active in the NPI registry since September 2024. The organization lists Latasha Roles, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679390835
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameLIFE SPAN GROUP LLC
Location Address23 PIERSIDE DR APT 237Baltimore, MD 21230-5476
Mailing Address23 Pierside Dr Apt 237Baltimore, MD 21230-5476 · (443) 208-6156
Phone(443) 208-6156
Organization SubpartNo
Authorized OfficialLatasha RolesCeo · (443) 208-6156
Enumeration DateSeptember 20, 2024
NPPES CertifiedSeptember 20, 2024
✔ NPI 1679390835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
23 PIERSIDE DR APT 237, Baltimore, MD 21230
Open in Google Maps ↗

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

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 Life Span Group LLC's NPI number?

The NPI number for Life Span Group LLC is 1679390835. It was assigned to this organization in the NPPES registry on September 20, 2024.

Where is Life Span Group LLC located?

Life Span Group LLC is located at 23 Pierside Dr Apt 237, Baltimore, MD 21230. The listed phone number is (443) 208-6156.

What is Life Span Group LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Life Span Group LLC was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.