Lifes Energy Wellness Center Inc.

LBN: Lifes Energy Wellness Center Inc.
Lifes Energy Wellness Center Inc. is an health care organization with primary practice located at 8737 Brooks Dr Ste 108 Suite 108, Easton MD 21601-7474. The organization recently has 12 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Other Service Providers / Peer Specialist, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Ambulatory Health Care Facilities / Multi-Specialty, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Home Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Lifes Energy Wellness Center Inc. can be contacted via phone (800) 867-2395, or through Kelley-Freeman, Andrea via phone (800) 867-2395.

Contact Information

Primary practice address
8737 Brooks Dr Ste 108 Suite 108 Easton MD 21601-7474
Phone: (800) 867-2395
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kelley-Freeman, Andrea
Phone: (800) 867-2395

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X BH000383 Maryland
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X
Other Service Providers / Peer Specialist 175T00000X
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers / Home Health 364SH0200X

Profile Details

NPI number 1811486962
LBN Legal business name Lifes Energy Wellness Center Inc.
DBA Doing business as
Authorized official Kelley-Freeman, Andrea
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2018
Last updated May 4th, 2018 - about 6 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 1811486962 NPPES
Maryland MEDICAID 160020603

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