National Provider Identifier Database

LIFES ENERGY WELLNESS CENTER INC
Professional

Contact Information

LIFES ENERGY WELLNESS CENTER INC.
8737 BROOKS DR
EASTON, MD  21601
Phone: 443-496-0245
Fax:
Website:
Specialty Taxonomy Code
* 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
Multi-Specialty 261QM1300X
Substance Abuse Disorder Rehabilitation Facility 324500000X
Substance Abuse Treatment, Children 3245S0500X

* Indicates primary specialty

NPI Profile & details for LIFES ENERGY WELLNESS CENTER INC.

NPI Number 1316464951
Legal business name
LBN		 LIFES ENERGY WELLNESS CENTER INC.
Authorized official ANDREA KELLEY-FREEMAN - (CEO)
Entity Organization
Organization subpart No
Enumeration date 08/24/2017
Last updated 05/25/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • MD License #: BH000195
  • MD License #: BH00095

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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