LIFE RENEWAL SERVICES, INC. (NPI# 1578995213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578995213 |
| Entity Type | Organization |
| Organization Name | LIFE RENEWAL SERVICES, INC. |
| Practice Address |
247 E Main St Westminster MD 21157-5228 |
| Mailing Address |
Po Box 865 Westminster MD 21158-0865 |
| Practice Telephone | 4102778910 |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |
| Authorized Official Name | LISA FONTAINE (QA) |
| Authorized Official Telephone | 4102778910 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457471385 | Life Renewal Services, Inc. | Counselor | 6940 Tudsbury Rd, Windsor Mill, MD 21244-2674 | 2007-04-02 |
| 1841622586 | Life Renewal Services, Inc. | Clinic/Center | 247 E Main St, Westminster, MD 21157-5228 | 2013-08-05 |
| 1124229133 | Life Renewal Services, Inc. | Counselor | 6940 Tudsbury Rd, Windsor Mill, MD 21244-2674 | 2007-05-29 |
| Street Address |
247 E MAIN ST |
| City | WESTMINSTER |
| State | MD |
| Zip Code | 21157-5228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689206435 | Emily Nicole Crumpler | Counselor | 247 E Main St, Westminster, MD 21157-5228 | 2020-02-10 |
| 1629625876 | Elizabeth S Kraft | Counselor | 247 E Main St, Westminster, MD 21157-5228 | 2019-08-22 |
| 1427605757 | Allison Marie Grillo | Social Worker | 247 E Main St, Westminster, MD 21157-5228 | 2019-08-21 |
| 1780149385 | Rebecca Houser | Counselor | 247 E Main St, Westminster, MD 21157-5228 | 2019-02-07 |
| 1669936993 | Courtney Anne Mack | Social Worker | 247 E Main St, Westminster, MD 21157-5228 | 2019-01-31 |
| 1558834291 | Marie Stancovich | Counselor | 247 E Main St, Westminster, MD 21157-5228 | 2019-01-04 |
| 1760953814 | Kathryn Sue Castle | Social Worker | 247 E Main St, Westminster, MD 21157-5228 | 2018-12-16 |
| 1295206621 | Carol Marie Poole | Counselor | 247 E Main St, Westminster, MD 21157-5228 | 2018-12-11 |
| 1760915474 | Life's Potential Services | Clinic/Center | 247 E Main St, Westminster, MD 21157-5228 | 2017-04-10 |
| 1841622586 | Life Renewal Services, Inc. | Clinic/Center | 247 E Main St, Westminster, MD 21157-5228 | 2013-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523083 | Krista Stanzione | Counselor | 10 Distillery Drive, Ste 200, Westminster, MD 21157 | 2020-09-16 |
| 1487263893 | Jordan Butler | Counselor | Mcdaniel College Wellness Center, 2 College Hill, Westminster, MD 21157 | 2020-07-31 |
| 1558920991 | Ashton Nicole Burnham | Social Worker | 10 Distillery Dr Suite 200, Westminster, MD 21157 | 2019-06-10 |
| 1265903173 | Kathy Denise Omara | Speech-Language Pathologist | 125 North Court Street, Westminster, MD 21157 | 2018-12-17 |
| 1013419837 | Ericka M Walters | Social Worker | 77-81 E. Main Street, Suite 406, Westminster, MD 21157 | 2018-03-07 |
| 1982146353 | Access Carroll, LLC | Clinic/Center | 10 Distillery Drive, Suite 200, Westminster, MD 21157 | 2016-11-16 |
| 1619327293 | Bh Brightview Westminster Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 505 High Acre Drive, Westminster, MD 21157 | 2016-06-15 |
| 1710362926 | Laura Coulter | Social Worker | 280 E Main St Ste 202, Westminster, MD 21157 | 2015-07-29 |
| 1205213436 | Carroll County Health Department | Public Health or Welfare | 290 S. Center Street, Westminster, MD 21157 | 2015-04-27 |
| 1972990489 | Ivy Smink | Registered Nurse | 10 Distillery Lane Suite 200, Carroll County Health Department Bureau of Prevention W, Westminster, MD 21157 | 2015-04-22 |
| Find all providers in zip 21157 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285198432 | Perry Psychiatry, LLC | Clinic/Center | 2 Narrows Rd Bldg C, Westminster, MA 01473-1677 | 2019-01-22 |
| 1932253598 | Sheppard Pratt Health System, Inc. | Clinic/Center | 1135 Business Pkwy S, Westminster, MD 21157-3019 | 2007-01-22 |
| 1225267883 | Colorado Psychiatry Center, PC | Clinic/Center | 1499 W 120th Ave, Suite 230, Westminster, CO 80234-2751 | 2009-07-03 |
| 1124165667 | County of Orange | Clinic/Center | 14140 Beach Blvd, Suite 155, Westminster, CA 92683-4453 | 2007-02-01 |
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|---|---|---|---|---|
| 1881209815 | Stride Forward Counseling LLC | Clinic/Center | 9 Newburg Ave Ste 102, Catonsville, MD 21228-5157 | 2020-09-15 |
| 1033724513 | S and S Properties 3 | Clinic/Center | 6122 Reisterstown Rd, Baltimore, MD 21215-3423 | 2020-09-11 |
| 1205440195 | Kevin Eugene Harvell | Clinic/Center | 3435 Greenmount Ave Ste 1, Baltimore, MD 21218-2942 | 2020-09-08 |
| 1528679834 | Erc Maryland | Clinic/Center | 7505 Osler Dr Ste 405, Towson, MD 21204-7739 | 2020-08-11 |
| 1245879386 | Anne Arundel County, Maryland | Clinic/Center | 839 Bestgate Rd Ste 300, Annapolis, MD 21401-3473 | 2020-01-06 |
| 1720627581 | Johns Hopkins Bayview Medical Center, Inc. | Clinic/Center | 5500 East Lombard Street, Room 1025, Baltimore, MD 21224 | 2019-12-27 |
| 1841847241 | Imperial Healthcare Services LLC | Clinic/Center | 547 Riverside Dr Ste A, Salisbury, MD 21801-5369 | 2019-08-20 |
| 1437714862 | Bolton Therapy & Wellness | Clinic/Center | 1534 Bolton St Ste 1, Baltimore, MD 21217-4203 | 2019-05-01 |
| 1497213581 | Pathways Inc | Clinic/Center | 2670 Crain Hwy Ste 300, Waldorf, MD 20601-2817 | 2019-03-07 |
| 1629553037 | Win Team, LLC | Clinic/Center | 7 Pleasant View Chrurch Road, Port Deposit, MD 21904 | 2018-10-02 |
| Find all providers with the same taxonomy | ||||
| City | WESTMINSTER |
| Zip Code | 21157 |
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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.