HEALTHY LIVES, LLC (NPI# 1174905640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174905640 |
| Entity Type | Organization |
| Organization Name | HEALTHY LIVES, LLC |
| Practice Address |
1504 Joh Ave Ste 120 Baltimore MD 21227-1070 |
| Mailing Address |
2323 Barclay St Baltimore MD 21218-5334 |
| Practice Telephone | 4432197901 |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2019-10-07 |
| Authorized Official Name | AHMEIN WATSON (CEO) |
| Authorized Official Telephone | 4437223116 |
| Authorized Official Credential | LCSW-C, LCADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
16481 | MD | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2323 Barclay St, Baltimore, MD 212185334 | 4109347234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171052 | Healthy Lives, LLC | Community/Behavioral Health | 1504 Joh Ave Ste 120, Baltimore, MD 21227-1070 | 2020-10-16 |
| 1477150811 | Healthy Lives, LLC | Community/Behavioral Health | 1504 Joh Ave Ste 120, Baltimore, MD 21227-1070 | 2020-10-08 |
| 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 |
| 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 |
| 1477150811 | Healthy Lives, LLC | Community/Behavioral Health | 1504 Joh Ave Ste 120, Baltimore, MD 21227-1070 | 2020-10-08 |
| 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 |
| 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 | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467069 | Pivot Inc. | Social Worker | 1725 E Baltimore St, Baltimore, MD 21231-1508 | 2020-11-02 |
| 1265033716 | Estell Wellness, LLC | Social Worker | 3925 Beech Ave Apt 522, Baltimore, MD 21211-2265 | 2020-11-02 |
| 1821698853 | Britney Buckson | Social Worker | 3710 Mary Ave, Baltimore, MD 21206-2416 | 2020-10-28 |
| 1467052746 | Allison Clayton | Social Worker | 1206 Union Ave, Baltimore, MD 21211-1901 | 2020-10-27 |
| 1134727506 | Maria Eleanor Nissley Ray | Social Worker | 906 Wilmington Ave, Baltimore, MD 21223-3224 | 2020-10-16 |
| 1144828161 | Melissa Vanderwolf Weldon | Social Worker | 3974 Edgehill Ave Apt C7, Baltimore, MD 21211-1721 | 2020-10-12 |
| 1467059691 | Artricia Cheri Love | Social Worker | 4010 W Belvedere Ave # 102, Baltimore, MD 21215-5502 | 2020-10-01 |
| 1710592183 | Stacy Tron | Social Worker | 2804 Laurelwood Ct, Baltimore, MD 21209-1414 | 2020-09-12 |
| 1326653742 | M S Brown Counseling Services LLC | Social Worker | 6801 Belair Rd Ste B, Baltimore, MD 21206-1121 | 2020-09-11 |
| 1700491438 | Chaey Skinner | Social Worker | 4312 Kolb Ave, Baltimore, MD 21206-2021 | 2020-09-10 |
| 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.