Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Span Group LLC

Organization Mental Health Counselor · NPI 1679390835

Life Span Group LLC provides Mental Health Counselor services in Baltimore, Maryland. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

23 Pierside Dr Apt 237
Baltimore, MD 21230-5476
Phone: (443) 208-6156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1679390835
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Latasha Roles — Ceo · (443) 208-6156
NPI enumeratedSeptember 20, 2024
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024
Mailing address23 Pierside Dr Apt 237, Baltimore, MD 21230-5476

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