LIFES ENERGY WELLNESS CENTER INC. (NPI# 1093377855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093377855 |
| Entity Type | Organization |
| Organization Name | LIFES ENERGY WELLNESS CENTER INC. |
| Practice Address |
2324 West Zion Road Suite #112 Salisbury MD 21804 |
| Mailing Address |
Po Box 123 Easton MD 21601-8901 |
| Practice Telephone | 8008672395 |
| Practice Fax Number | 4104430842 |
| Mailing Telephone | 8008672395 |
| Mailing Fax Number | 4104430842 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |
| Authorized Official Name | ANDREA KELLEY-FREEMAN (CEO) |
| Authorized Official Telephone | 8008672395 |
| Authorized Official Credential | MS, LCADC, LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| 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 |
| 1023520764 | Lifes Energy Wellness Center Inc. | Counselor | 514 Poplar St, Cambridge, MD 21613-1834 | 2017-11-03 |
| 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 |
2324 WEST ZION ROAD SUITE #112 |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804 |
| 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 |
| 1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
| 1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
| 1639662745 | Peninsula Physical Therapy, LLC | Physical Therapist | 720 E College Ave Ste 11, Salisbury, MD 21804 | 2018-06-13 |
| 1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
| 1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
| 1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
| 1285170068 | Connie Cooper | Student in an Organized Health Care Education/Training Program | 1655 Woodbrooke Drive, Suite 102, Salisbury, MD 21804 | 2017-01-17 |
| Find all providers in zip 21804 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972147114 | Hudson Health Services, Inc. | Substance Abuse Rehabilitation Facility | 316 Poplar Hill Ave, Salisbury, MD 21801-4277 | 2019-10-31 |
| 1306351713 | Hudson Health Services, Inc. | Substance Abuse Rehabilitation Facility | 109 E Chestnut St, Salisbury, MD 21801-4263 | 2017-12-07 |
| 1578541157 | Second Wind, Inc. | Substance Abuse Rehabilitation Facility | 309 Newton St, Salisbury, MD 21801-5308 | 2006-01-04 |
| 1568447209 | Hudson Health Services Inc | Substance Abuse Rehabilitation Facility | 1506 Harting Drive, Salisbury, MD 21801 | 2005-12-14 |
| 1780190496 | Hudson Health Services, Inc. | Substance Abuse Rehabilitation Facility | 221 Broad St, Salisbury, MD 21801-4955 | 2017-12-18 |
| 1740795855 | Hudson Health Services, Inc. | Substance Abuse Rehabilitation Facility | 108 Walnut St, Salisbury, MD 21801-4283 | 2017-12-12 |
| 1386171890 | Hudson Health Services | Substance Abuse Rehabilitation Facility | 1506 Harting Drive, Salisbury, MD 21801 | 2017-05-15 |
| 1083918940 | Warwick Manor Behavioral Health | Substance Abuse Rehabilitation Facility | 220 E Main St Ste A, Salisbury, MD 21801-5044 | 2011-01-06 |
| 1356645568 | Megan Sckupakus | Substance Abuse Rehabilitation Facility | 220 E Main St Ste A, Salisbury, MD 21801-5044 | 2011-01-03 |
| 1578718193 | Hudson Health Services, Inc. | Substance Abuse Rehabilitation Facility | 300 Union Ave, Salisbury, MD 21801-3660 | 2008-11-24 |
| Find all providers in SALISBURY | ||||
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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.