OrganizationActive
Creating Balanced Lives LLC
NPI 1124884887 · Mental Health Clinic/Center (Including Community Mental Health Center) · Middle River, MD
Provider details
- NPI number
- 1124884887
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rachel Thierry, Owner(410) 841-8453
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
38 Cutter Cove Ct
Middle River, MD 21220-7509
Phone: (410) 841-8453
Street-level locationGet directions
Mailing address
Po Box 91
Glen Burnie, MD 21060-0091
Registry dates
- Enumerated
- 2024-02-21
- Last updated
- 2026-05-25
- Certified
- 2026-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.