LIFES ENERGY WELLNESS CENTER INC, Professional EASTON, MD

Contact Information

LIFES ENERGY WELLNESS CENTER INC.

8737 BROOKS DR
EASTON, MD 21601

Phone: 443-496-0245
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Professional	101YP2500X
Addiction (Substance Use Disorder)	101YA0400X
Adolescent and Children Mental Health	261QM0855X
Adult Mental Health	261QM0850X
Community/Behavioral Health	251S00000X
Mental Health	101YM0800X
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center
Multi-Specialty	261QM1300X	70	Clinic or Group Practice
Substance Abuse Disorder Rehabilitation Facility	324500000X
Substance Abuse Treatment, Children	3245S0500X

Indicates primary specialty

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NPI Profile & details for LIFES ENERGY WELLNESS CENTER INC · (Female)

NPI Number	`1316464951`
Status	Active
Credentials
Entity	Individual
Enumeration date	08/24/2017
Last updated	05/25/2018 - About 8 years ago
Sole proprietor ¹	Not specified
Identifiers	MD License # BH000195 MD License # BH00095
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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