CHANGING LIVES AT HOME, INC. MENTAL HEALTH - NPI 1740611623 - Community/Behavioral Health in Baltimore, MD

Q: 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.

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About Changing Lives At Home, Inc. Mental Health NPPES

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

CHANGING LIVES AT HOME, INC. MENTAL HEALTH (NPI 1740611623) is a healthcare organization registered as a community/behavioral health in Baltimore, Maryland and active in the NPI registry since December 2013. The organization lists Latrill Waizette Bryant-bass, Director, as its authorized official.

NPPES Registry Identity

NPI1740611623

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) 463-9523

Organization SubpartNo

Authorized OfficialLatrill Waizette Bryant-bassDirector · (443) 463-9523

Enumeration DateDecember 3, 2013

Last NPPES UpdateMarch 11, 2026

NPPES CertifiedMarch 11, 2026

✔ NPI 1740611623 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 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 1740611623. It was assigned to this organization in the NPPES registry on December 3, 2013.

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) 463-9523.

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 March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.