Life Renewal Services, Inc.

LBN: Life Renewal Services, Inc.
Life Renewal Services, Inc. is an health care organization with primary practice located at 6940 Tudsbury Rd , Windsor Mill MD 21244-2674. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Life Renewal Services, Inc. can be contacted via phone (410) 277-8910, or through Byrd, Karen Kane via phone (410) 840-4116.

Contact Information

Primary practice address
6940 Tudsbury Rd Windsor Mill MD 21244-2674
Phone: (410) 277-8910
Fax: (410) 277-8911
Website:
Map and Directions
Authorized official contact:
Name: Byrd, Karen Kane LCPC
Phone: (410) 840-4116

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Maryland

Profile Details

NPI number 1457471385
LBN Legal business name Life Renewal Services, Inc.
DBA Doing business as
Authorized official Byrd, Karen Kane LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2007
Last updated Feb 18th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457471385 NPPES
Maryland MEDICAID 399002800

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