LIFES ENERGY WELLNESS CENTER INC.; NPI #1316464951

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.

NPI # 1316464951

LBN Legal business name LIFES ENERGY WELLNESS CENTER INC.

Authorized official ANDREA KELLEY-FREEMAN - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/24/2017

Last updated 05/25/2018 - About 8 years ago

Identifiers

MD	License #	BH000195
MD	License #	BH00095

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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LIFES ENERGY WELLNESS CENTER INC.

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NPI Profile & details for LIFES ENERGY WELLNESS CENTER INC.

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