One Alkaline Life, Llc

LBN: One Alkaline Life, Llc
One Alkaline Life, Llc is an health care organization with primary practice located at 1036 Saint Nicholas Dr Unit 102 , Waldorf MD 20603-4758. 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. One Alkaline Life, Llc can be contacted via phone (410) 934-0580, or through Stevens, Lester via phone (410) 934-0581.

Contact Information

Primary practice address
1036 Saint Nicholas Dr Unit 102 Waldorf MD 20603-4758
Phone: (410) 934-0580
Fax: (410) 834-1217
Website:
Map and Directions
Authorized official contact:
Name: Stevens, Lester
Phone: (410) 934-0581

Health care specialties

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

Profile Details

NPI number 1104572775
LBN Legal business name One Alkaline Life, Llc
DBA Doing business as
Authorized official Stevens, Lester
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2022
Last updated May 15th, 2024 - about 2 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 1104572775 NPPES
Maryland MEDICAID 317218000

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