HEALTHY LIVES, LLC (NPI# 1477150811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477150811 |
| Entity Type | Organization |
| Organization Name | HEALTHY LIVES, LLC |
| Practice Address |
1504 Joh Ave Ste 120 Baltimore MD 21227-1070 |
| Practice Telephone | 4432197901 |
| Mailing Telephone | 4432197901 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | AHMEIN WATSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4437223116 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2716 Baker St, Baltimore, MD 212164002 | 4432197901 | |
| 2806 Harlem Ave, Baltimore, MD 212164719 | 4432197901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171052 | Healthy Lives, LLC | Community/Behavioral Health | 1504 Joh Ave Ste 120, Baltimore, MD 21227-1070 | 2020-10-16 |
| 1841704533 | Healthy Lives, LLC | Clinic/Center | 1504 Joh Ave Ste 120, Baltimore, MD 21227-1070 | 2017-11-17 |
| 1366827073 | Healthy Lives, LLC | Community/Behavioral Health | 1504 Joh Ave Ste 120, Baltimore, MD 21227-1070 | 2015-07-23 |
| 1174905640 | Healthy Lives, LLC | Social Worker | 1504 Joh Ave Ste 120, Baltimore, MD 21227-1070 | 2015-06-22 |
| 1114268661 | Healthy Lives, LLC | Social Worker | 1504 Joh Ave Ste 120, Baltimore, MD 21227-1070 | 2013-03-08 |
| Street Address |
1504 JOH AVE STE 120 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21227-1070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588938237 | Ahmein Watson | Social Worker | 1504 Joh Ave Ste 120, Baltimore, MD 21227 | 2012-02-28 |
| 1679171052 | Healthy Lives, LLC | Community/Behavioral Health | 1504 Joh Ave Ste 120, Baltimore, MD 21227-1070 | 2020-10-16 |
| 1477067262 | Healthy Lives | Substance Abuse Rehabilitation Facility | 1504 Joh Ave Ste 120, Baltimore, MD 21227-1070 | 2017-12-01 |
| 1841704533 | Healthy Lives, LLC | Clinic/Center | 1504 Joh Ave Ste 120, Baltimore, MD 21227-1070 | 2017-11-17 |
| 1366827073 | Healthy Lives, LLC | Community/Behavioral Health | 1504 Joh Ave Ste 120, Baltimore, MD 21227-1070 | 2015-07-23 |
| 1174905640 | Healthy Lives, LLC | Social Worker | 1504 Joh Ave Ste 120, Baltimore, MD 21227-1070 | 2015-06-22 |
| 1114268661 | Healthy Lives, LLC | Social Worker | 1504 Joh Ave Ste 120, Baltimore, MD 21227-1070 | 2013-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528622024 | Kim Conaway | Counselor | Regenerations Counseling Services, 1421 S. Canton Street, Baltimore, MD 21227 | 2019-04-30 |
| 1861974891 | Joan Lynn Indilisano | Occupational Therapist | 3320 Benson Avenue, Baltimore, MD 21227 | 2018-09-06 |
| 1821593161 | Institute for Dermatopathology, Inc. | Clinical Medical Laboratory | 1901 Sulphur Spring Rd Ste A, Baltimore, MD 21227 | 2018-03-28 |
| 1447779699 | Aja Williams | Registered Nurse | 3902 Annapolis Rd., Halethorpe, MD 21227 | 2017-09-19 |
| 1588190748 | Mentor-maryland | Community/Behavioral Health | 1540 Caton Center Drive, Halethorpe, MD 21227 | 2017-05-10 |
| 1083084180 | Institute for Family Centered Services | Community/Behavioral Health | 1540 Caton Centered Drive, Suite F, Baltimore, MD 21227 | 2015-10-01 |
| 1174913677 | Wye Oak Clinic, Inc. | Marriage & Family Therapist | 1937 Lansdowne Rd, Halethorpe, MD 21227 | 2015-02-04 |
| 1336442656 | Norah Orise Osian | Pharmacist | Rite Aid Pharmacy, 1400 Sulphur Spring Rd, Baltimore, MD 21227 | 2010-12-08 |
| 1366759623 | Een J Lee | Pharmacist | 1400 Sulphurspring Rd, Baltimore, MD 21227 | 2010-09-08 |
| 1780904847 | Emnet T Kflu | Counselor | 908 Francis Avenue, Halethorpe, MD 21227 | 2010-06-10 |
| Find all providers in zip 21227 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043127 | Ch Mh Services (md), LLC | Community/Behavioral Health | 12 W Montgomery St Ste 107, Baltimore, MD 21230-4490 | 2020-11-06 |
| 1568062099 | Borderless Healthcare Services, LLC | Community/Behavioral Health | 1900 E Northern Pkwy Ste 308, Baltimore, MD 21239-2111 | 2020-10-26 |
| 1982211322 | Brenda Bivens Wilson | Community/Behavioral Health | 1726 Bolton St, Baltimore, MD 21217-4904 | 2020-09-29 |
| 1366056855 | The Wel Foundation, LLC. | Community/Behavioral Health | 5858 Belair Rd, Baltimore, MD 21206-2661 | 2020-09-02 |
| 1679185177 | Center for Youth and Families Inc | Community/Behavioral Health | 6304 Elinore Ave, Baltimore, MD 21206-1721 | 2020-08-18 |
| 1457977100 | Apex Wellness Group, LLC | Community/Behavioral Health | 118 E 25th St Unit 2, Baltimore, MD 21218-5281 | 2020-06-18 |
| 1922622737 | Johns Hopkins Bayview Medical Center, Inc. | Community/Behavioral Health | 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 | 2020-06-08 |
| 1669093829 | Upcoming Enterprize Corporation | Community/Behavioral Health | 6615 Reisterstown Rd Ste Ll2, Baltimore, MD 21215-2686 | 2020-04-29 |
| 1922629344 | Providing Empowerment Advocacy & Social Skills | Community/Behavioral Health | 2361 Flax Ter, Baltimore, MD 21209-4625 | 2020-04-27 |
| 1801415153 | New Life Family Services LLC | Community/Behavioral Health | 3010 Ridgewood Ave Ste 210, Baltimore, MD 21215-6211 | 2020-04-15 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on HEALTHY LIVES, LLC.
| 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.