Create Your Life, LLC
Create Your Life, LLC is a healthcare organization registered as Professional Counselor in White Plains, MD, holding Type 2 (organization) NPI 1639529407 since 2016. The authorized official on file is Shannon Howard, Lic.Clin. Prof. Counselor.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1639529407 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Create Your Life, LLC |
| Practice address | 10665 STANHAVEN PL STE 3119, White Plains, MD, 20695 |
| Phone | 2404483711 |
| Enumeration date | 2016-06-13 |
| Last updated in NPPES | 2024-11-02 |
Authorized official
| Name | Shannon Howard |
|---|---|
| Title | Lic.Clin. Prof. Counselor |
| Phone | 2024227337 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YP2500X | Professional Counselor | Secondary | PRC13741 | DC |
| 101YP2500X | Professional Counselor | Primary | LC1508 | MD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2132324 | Other | MD | MAMSI |
| 358105 | Other | MD | MHN |
| 60980001 | Other | DC | BLUE CROSS BLUE SHIELD |
| 001437100 | Medicaid | MD | — |
| 645523-03 | Other | MD | BLUE CROSS BLUE SHIELD |
| 743688000 | Other | MD | MAGELLEAN |
Copy-ready billing details
Provider: Create Your Life, LLC NPI: 1639529407 Taxonomy: 101YP2500X (Professional Counselor) Address: 10665 STANHAVEN PL STE 3119, White Plains, MD, 20695
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1164562278 | Shannon Howard | Individual | Professional Counselor | White Plains, MD |
| 1114466869 | Andrea Williams | Individual | Clinical Psychologist | White Plains, MD |
Verify this record
Cross-check NPI 1639529407 against the authoritative CMS record: view Create Your Life, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is Create Your Life, LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-11-02.