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

Changing Lives at Home Sud, Inc

Organization Community/Behavioral Health Agency · NPI 1124705546

Changing Lives at Home Sud, Inc is a Community/Behavioral Health Agency in Baltimore, Maryland. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4805 Garrison Blvd 1st Fl And Ste 200
Baltimore, MD 21215-5695
Phone: (443) 869-2600
Fax: (410) 510-1982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1124705546
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Latrill Bryant-Bass — Ceo/Director · (443) 463-9523
NPI enumeratedJune 28, 2023
Last updated in NPPESJune 30, 2023
Certification dateJune 30, 2023
Mailing address202 Glenn Ellen Cir, Pikesville, MD 21208-1028

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