LIFES ENERGY WELLNESS CENTER INC. (NPI# 1023520764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023520764 |
| Entity Type | Organization |
| Organization Name | LIFES ENERGY WELLNESS CENTER INC. |
| Practice Address |
514 Poplar St Cambridge MD 21613-1834 |
| Mailing Address |
8737 Brooks Dr Ste 108 Easton MD 21601-7474 |
| Practice Telephone | 1808672395 |
| Mailing Telephone | 4434960245 |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2018-05-04 |
| Authorized Official Name | MRS. ANDREA M KELLEY-FREEMAN (CEO) |
| Authorized Official Telephone | 8008672395 |
| Authorized Official Credential | LCADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YS0200X |
Counselor Specialization: School |
LCA2304 | Behavioral Health & Social Service Providers | |
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
LCA2304 | Behavioral Health & Social Service Providers | |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCA2304 | Behavioral Health & Social Service Providers | |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
BH000384 | MD | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1902462427 | Lifes Energy Wellness Center Inc. | Counselor | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2019-05-10 |
| 1174189658 | Lifes Energy Wellness Center Inc. | Registered Nurse | 514 Poplar St, Cambridge, MD 21613-1834 | 2019-05-10 |
| 1053800110 | Lifes Energy Wellness Center Inc. | Social Worker | 514 Poplar St, Cambridge, MD 21613-1834 | 2018-05-04 |
| 1811486962 | Lifes Energy Wellness Center Inc. | Registered Nurse | 8737 Brooks Dr Ste 108, Suite 108, Easton, MD 21601-7474 | 2018-05-04 |
| 1316464951 | Lifes Energy Wellness Center Inc. | Counselor | 8737 Brooks Dr, Easton, MD 21601 | 2017-08-24 |
| Street Address |
514 POPLAR ST |
| City | CAMBRIDGE |
| State | MD |
| Zip Code | 21613-1834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003465568 | Shannon D Thomas | Social Worker | 514 Poplar St, Cambridge, MD 21613-1834 | 2019-09-08 |
| 1841858172 | Yolanda Hargis | Counselor | 514 Poplar St, Cambridge, MD 21613-1834 | 2019-06-01 |
| 1174189658 | Lifes Energy Wellness Center Inc. | Registered Nurse | 514 Poplar St, Cambridge, MD 21613-1834 | 2019-05-10 |
| 1053800110 | Lifes Energy Wellness Center Inc. | Social Worker | 514 Poplar St, Cambridge, MD 21613-1834 | 2018-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225427289 | A Better Alternative Nursing Avency, Inc | Nursing Care | 204 Cedar Street, Canbridge, MD 21613 | 2015-01-14 |
| 1497048524 | Christina Marie Drostin | Family Medicine | 503 A Muir Street, Cambridge, MD 21613 | 2011-05-23 |
| 1841589058 | Wal-mart Stores East Lp | Technician/Technologist | 2775 Dorchester Square, Cambridge, MD 21613 | 2011-03-29 |
| 1053624452 | Gina Exantus-bernard | Pediatrics | 400 Byrn St Ste A, Cambridge, MD 21613 | 2010-07-14 |
| 1235362872 | St of Md/dhmh Dorchester Co Health Dept | Public Health or Welfare | 2475 Cambridge Bypass, Cambridge, MD 21613 | 2009-08-31 |
| 1801916622 | Alisha Foxwell Saulsbury | Social Worker | 208 Cedar St, Cambridge, MD 21613 | 2007-03-29 |
| 1497890669 | Charles Edmund Connelly Jr. | Dentist | 406 Lecompte Street, Cambridge, MD 21613 | 2007-02-21 |
| 1114088192 | Delmarva Community Services Inc | Nursing Care | 6210 Shiloh Church Hurlock Rd, Hurlock, MD 21613 | 2006-12-13 |
| 1184782658 | Lesa M Lee | Social Worker | 403 Race Street, Cambridge, MD 21613 | 2006-12-05 |
| 1750455747 | Jenny Lynne Jarrell | Social Worker | 208 Cedar Street, Cambridge, MD 21613 | 2006-11-20 |
| Find all providers in zip 21613 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619407947 | Paula Powers | Counselor | 128 S 12th St, Cambridge, OH 43725-2449 | 2017-06-19 |
| 1528329117 | Omeaka Jackson | Counselor | 204 Cedar St, Ste 102, Cambridge, MD 21613-2395 | 2012-05-31 |
| 1851664619 | Deborah Christopher Weber | Counselor | 205 Sunburst Hwy, Cambridge, MD 21613-2045 | 2012-02-09 |
| 1962712638 | Joy Marie Morlock | Counselor | 32393 Rendova Circle Ne, Cambridge, MN 55008 | 2010-10-15 |
| 1972832525 | Deborah S Smith | Counselor | 121 N 18th St, Cambridge, OH 43725-2501 | 2009-12-10 |
| 1801077417 | Epona Counseling Center LLC | Counselor | 220 Ashland St S, Cambridge, MN 55008-1542 | 2007-11-26 |
| 1407051600 | John N Sciretta | Counselor | 217 Concord Ave, Cambridge, MA 02138-1334 | 2007-06-18 |
| 1356471312 | Doryam Cecilia Massimo | Counselor | 5 Sacramento Street, Cambridge, MA 02138 | 2007-03-07 |
| 1144856501 | Andrea Yamille Ruiz | Counselor | 349 Broadway, Cambridge, MA 02139-1715 | 2020-03-18 |
| 1912568080 | Rebecca Crain | Counselor | 817 Main St N, Cambridge, MN 55008-1275 | 2019-06-27 |
| Find all providers in CAMBRIDGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.