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 is a Mental Health Counselor 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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