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LIFE ENHANCEMENT SERVICES OF MD LLC NPI 1366015455


NPI Information

NPI: 1366015455
Provider Name: LIFE ENHANCEMENT SERVICES OF MD, LLC

Other Name: LIFE ENHANCEMENT SERVICES MARYLAND

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
6340 SECURITY BLVD STE 100
BALTIMORE, MD
ZIP 21207
Phone: (202) 269-2401
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LIFE ENHANCEMENT SERVICES OF MD, LLC is a community behavioral health in Baltimore, MD. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. LIFE ENHANCEMENT SERVICES OF MD, LLC NPI is 1366015455. The provider is registered as an organization entity type.
The provider Other Name Is Life Enhancement Services Maryland.

The provider's business location address is:

6340 SECURITY BLVD STE 100
BALTIMORE, MD
ZIP 21207-173
Phone: (202) 269-2401

The provider's authorized official is Herbert Gray .
The authorized official title is Ceo and has the following contact phone number (202) 269-2401.

The enumeration date for this NPI number is 7/19/2021 and was last updated on 2/26/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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