LIFES ENERGY WELLNESS CENTER INC. (NPI# 1578125969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578125969 |
| Entity Type | Organization |
| Organization Name | LIFES ENERGY WELLNESS CENTER INC. |
| Practice Address |
2324 West Zion Road Suite 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 | 2019-07-05 |
| Last Update Date | 2019-07-05 |
| 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 | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 SUITE 112 |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
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| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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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.