Provider Demographics
NPI:1063977221
Name:TIMELESS CHOICE, LLC
Entity type:Organization
Organization Name:TIMELESS CHOICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED AGENT
Authorized Official - Prefix:
Authorized Official - First Name:REGISTERED
Authorized Official - Middle Name:
Authorized Official - Last Name:SERVICES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-256-2785
Mailing Address - Street 1:9712 BELAIR RD STE LL1
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-1110
Mailing Address - Country:US
Mailing Address - Phone:410-256-2785
Mailing Address - Fax:410-248-3262
Practice Address - Street 1:9712 BELAIR RD STE LL1
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-1110
Practice Address - Country:US
Practice Address - Phone:410-256-2785
Practice Address - Fax:410-248-3262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-01
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health