LIFE RENEWAL SERVICES, INC (NPI# 1427506278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427506278 |
| Entity Type | Organization |
| Organization Name | LIFE RENEWAL SERVICES, INC |
| Practice Address |
3455 Wilkens Ave Suite 303 Baltimore MD 21229-5213 |
| Mailing Address |
Po Box 1254 Westminster MD 21158-5254 |
| Practice Telephone | 4432898149 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |
| Authorized Official Name | KAREN BYRD (CEO) |
| Authorized Official Telephone | 4432898149 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174074066 | Life Renewal Services, Inc | Clinic/Center | 3455 Wilkens Ave, Suite 303, Baltimore, MD 21229-5213 | 2016-10-17 |
| 1942632682 | Life Renewal Services, Inc | Clinic/Center | 247 E Main St, Westminster, MD 21157-5228 | 2013-08-05 |
| 1528400348 | Life Renewal Services, Inc | Clinic/Center | 247 E Main St, Westminster, MD 21157-5228 | 2013-07-22 |
| 1326249335 | Life Renewal Services, Inc | Counselor | 6940 Tudsbury Rd, Windsor Mill, MD 21244-2674 | 2007-05-29 |
| Street Address |
3455 WILKENS AVE SUITE 303 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-5213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073508271 | Voshell's Pharmacy, Inc | Pharmacy | 3455 Wilkens Ave, Baltimore, MD 21229-5213 | 2005-09-13 |
| 1508321290 | Wendy Dechowitz | Counselor | 3455 Wilkens Ave, Baltimore, MD 21229-5213 | 2019-02-06 |
| 1548708761 | Contemporary Family Services, Inc | Community/Behavioral Health | 3455 Wilkens Ave, Suite 308/208, Baltimore, MD 21229-5213 | 2017-02-08 |
| 1528505674 | Swinton Home Care, LLC | In Home Supportive Care | 3455 Wilkens Ave, Suite 202, Baltimore, MD 21229-5213 | 2017-01-27 |
| 1437695640 | Contemporary Family Services, Inc. | Day Training, Developmentally Disabled Services | 3455 Wilkens Ave, Suite 308/208, Baltimore, MD 21229-5213 | 2017-01-11 |
| 1609310101 | Contemporary Family Services, Inc | Substance Abuse Rehabilitation Facility | 3455 Wilkens Ave, Suite 308/208, Baltimore, MD 21229-5213 | 2016-12-19 |
| 1174074066 | Life Renewal Services, Inc | Clinic/Center | 3455 Wilkens Ave, Suite 303, Baltimore, MD 21229-5213 | 2016-10-17 |
| 1396294690 | Life's Potential Services | Clinic/Center | 3455 Wilkens Ave, Suite 303, Baltimore, MD 21229-5213 | 2016-09-27 |
| 1558722397 | In Balance Physical Therapy and Wellness Center LLC | Clinic/Center | 3455 Wilkens Ave, Suite 200, Baltimore, MD 21229-5213 | 2016-03-07 |
| 1144607821 | National Rehabilitation Hospital, Inc. | Physical Therapist | 3455 Wilkens Ave, Suite 306, Baltimore, MD 21229-5213 | 2015-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041008 | Truecare Behavioral Health Systems, Inc | Clinic/Center | 330 E 25th St Ste 101, Baltimore, MD 21218-5359 | 2020-07-28 |
| 1578171088 | Dana Shaw LLC | Clinic/Center | 822 Guilford Ave Ste 802, Baltimore, MD 21202-3707 | 2020-07-21 |
| 1962037291 | Transformed Perspectives | Clinic/Center | 2807 Ailsa Ave, Baltimore, MD 21214-2522 | 2020-03-06 |
| 1013486620 | Tnat Holistic Wellness Center | Clinic/Center | 3221 Belair Rd, Baltimore, MD 21213-1242 | 2018-11-14 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| 1043727183 | Treasure Health Systems, Inc | Clinic/Center | 1900 E Northern Pkwy Ste 301, Baltimore, MD 21239-2111 | 2018-01-10 |
| 1891208484 | Solomon Counseling, LLC | Clinic/Center | 1501 Sulgrave Ave Ste 209, Baltimore, MD 21209-3650 | 2017-11-06 |
| 1952839474 | Ef Mental Health Services, LLC | Clinic/Center | 2107 N Charles St, 1st Floor - Right Side, Baltimore, MD 21218 | 2017-05-28 |
| 1629453261 | Julie D. Lapides, Psy. D., PC | Clinic/Center | 6115 Falls Rd Ste Llb, Baltimore, MD 21209-2450 | 2015-07-24 |
| 1972869394 | Sherman & Associates Services of Standard | Clinic/Center | 4401 Marble Hall Rd, Suite #200, Baltimore, MD 21218-1523 | 2012-04-10 |
| Find all providers in BALTIMORE | ||||
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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.