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CHANGING LIVES AT HOME INC
NPI 1699150144
Community/Behavioral Health in Baltimore, MD

Active since July 27, 2015
4805 GARRISON BLVD, BALTIMORE, MD 21215(443) 869-2600 Get Directions Write a Review

NPPES record last updated: July 27, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Changing Lives At Home Inc NPPES

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

CHANGING LIVES AT HOME INC (NPI 1699150144) is a healthcare organization registered as a community/behavioral health in Baltimore, Maryland and active in the NPI registry since July 2015. The organization lists Latrill Waizette Bryant Bass, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1699150144
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCHANGING LIVES AT HOME INC MENTAL HEALTH
Location Address4805 GARRISON BLVDBaltimore, MD 21215-5695
Mailing Address3606 Belle AveBaltimore, MD 21215-6102 · (443) 463-9523
Phone(443) 869-2600
Organization SubpartNo
Authorized OfficialLatrill Waizette Bryant BassExecutive Director · (443) 463-9523
Enumeration DateJuly 27, 2015
✔ NPI 1699150144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
4805 GARRISON BLVD, Baltimore, MD 21215
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Other Names 1

Other NameChanging Lives At Home Inc

Other Providers at the Same Location NPPES 20

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

LAKESHA WILLS
Counselor (Mental Health)
4805 GARRISON BLVD
BALTIMORE, MD 21215
Baltimore City (443) 869-2600
NINA N ROBINSON
Counselor (Addiction (Substance Use Disorder))
4805 GARRISON BLVD
BALTIMORE, MD 21215
Baltimore City (443) 869-2600
CHANGING LIVES AT HOME SUD,INC
Community/Behavioral Health
4805 GARRISON BLVD, 1ST FLOOR AND SUITE 200
BALTIMORE, MD 21215
Baltimore City (443) 869-2600
IVY MARINO
Rehabilitation Counselor
4805 GARRISON BLVD
BALTIMORE, MD 21215
Baltimore City (443) 869-2600
WINDELL POWELL
Counselor (Mental Health)
4805 GARRISON BLVD
BALTIMORE, MD 21215
Baltimore City (443) 869-2600
MS. MAMAYAA GYASI CPRP
Community/Behavioral Health
4805 GARRISON BLVD
BALTIMORE, MD 21215
Baltimore City (443) 869-2600
KENYATTA THOMPSON
Social Worker
4805 GARRISON BLVD
BALTIMORE, MD 21215
Baltimore City (443) 869-2600
MORGAN SHANAE KERSTETTER BA
Community Health Worker
4805 GARRISON BLVD
BALTIMORE, MD 21215
Baltimore City (443) 869-2600

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 Changing Lives At Home Inc Mental Health's NPI number?

The NPI number for Changing Lives At Home Inc Mental Health is 1699150144. It was assigned to this organization in the NPPES registry on July 27, 2015. The provider is also known as Changing Lives At Home Inc.

Where is Changing Lives At Home Inc Mental Health located?

Changing Lives At Home Inc Mental Health is located at 4805 Garrison Blvd, Baltimore, MD 21215. The listed phone number is (443) 869-2600.

What is Changing Lives At Home Inc Mental Health's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Changing Lives At Home Inc Mental Health was last updated on July 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.