LIFES ENERGY WELLNESS CENTER INC. NPI 1174189658

NPI Information

NPI: 1174189658
Provider Name: LIFES ENERGY WELLNESS CENTER INC.

Doing Business As: LIFE'S ENERGY WELLNESS CENTER INC.

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
514 POPLAR ST
CAMBRIDGE, MD
ZIP 21613
Phone: (800) 867-2395
Get Directions

LIFES ENERGY WELLNESS CENTER INC. is a mental health (including community mental health center) clinic center in Cambridge, MD. LIFES ENERGY WELLNESS CENTER INC. NPI is 1174189658. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Life's Energy Wellness Center Inc..

The provider's business location address is:

514 POPLAR ST
CAMBRIDGE, MD
ZIP 21613-834
Phone: (800) 867-2395
Fax: (410) 443-0842

The provider's authorized official is Andrea Kelley-freeman .
The authorized official title is Ceo and has the following contact phone number (800) 867-2395.

The enumeration date for this NPI number is 5/10/2019 and was last updated on 5/15/2019.

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	Primary
1	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
3	101YM0800X	Counselor	Mental Health	No
4	101YP2500X	Counselor	Professional	No
5	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	No
6	103TC2200X	Psychologist	Clinical Child & Adolescent	No
7	1041C0700X	Social Worker	Clinical	No
8	2084A0401X	Psychiatry & Neurology	Addiction Medicine	No
9	2084P0800X	Psychiatry & Neurology	Psychiatry	No
10	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	No
11	261QM0850X	Clinic/Center	Adult Mental Health	No
12	261QM1300X	Clinic/Center	Multi-Specialty	No
13	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
14	364SP0810X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Family	No
15	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

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

NPI Synchronization or Removal

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