LEAD4LIFE, INC.


Address: 176 Thomas Johnson Dr Ste 203, Frederick, MD 21702-4535
Phone: 3016724319

LEAD4LIFE, INC. (NPI# 1326695073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326695073
Entity Type Organization
Organization Name LEAD4LIFE, INC.
Practice Address 176 Thomas Johnson Dr Ste 203
Frederick
MD 21702-4535
Mailing Address 2096 Gaither Rd Ste 110
Rockville
MD 20850-4027
Practice Telephone 3016724319
Mailing Telephone 3016724319
Enumeration Date 2019-08-19
Last Update Date 2019-08-19
Authorized Official Name JENNIFER M GAUTHIER (CEO EXECUTIVE DIRECTOR)
Authorized Official Telephone 3016724319
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
MD 201507200 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1609423359 Lead4life, Inc. Community/Behavioral Health 145 W Ostend St Fl 6, Baltimore, MD 21230-3764 2019-08-19
1043745136 Lead4life, Inc. Counselor 225 N Division St, Salisbury, MD 21801-4203 2017-04-26
1659850360 Lead4life, Inc. Psychiatry & Neurology 15825 Shady Grove Rd Ste 35, Rockville, MD 20850-4033 2018-08-13
1477092393 Lead4life, Inc. Social Worker 2096 Gaither Rd Ste 110, Rockville, MD 20850-4027 2017-02-13
1518331610 Lead4life, Inc. Voluntary or Charitable 2096 Gaither Rd Ste 110, Rockville, MD 20850-4027 2015-11-30

Office Location

Street Address 176 THOMAS JOHNSON DR STE 203
City FREDERICK
State MD
Zip Code 21702-4535

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427604099 Ecarenow LLC Clinic/Center 176 Thomas Johnson Dr Ste 203, Frederick, MD 21702-4535 2019-08-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073129714 Rita Akowuah Nurse Practitioner 1302 Baker Place East Apt 14, Frederick, MD 21702 2020-09-18
1912416272 Morgan Nicely Behavior Technician 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 2017-09-29
1154840494 Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 2017-09-19
1831617471 Hazel Elizabeth Gill Physical Therapy Assistant 2007 Butterfield Overlook, Frederick, MD 21702 2017-09-05
1831610161 William Haynes Nurse Practitioner 103 Water Land Ct., Frederick, MD 21702 2017-06-27
1497299333 Timothy Stimach Pharmacist 1430b W Patrick St, Frederick, MD 21702 2016-12-12
1184167405 Maryland Nutrition and Diet Services, L.L.C. Dietitian, Registered 1301 W. 7th Street, No. 1607, Frederick, MD 21702 2016-11-18
1649649468 Oluwakemi Olubunmi Osidele Nurse Practitioner 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 2015-09-22
1841678562 Ventzislava Hristova Spec/Tech, Pathology 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 2015-05-14
1023404571 Mychal Lynn Pilia Advanced Practice Midwife 7420 Hayward Road, Suite 104, Frederick, MD 21702 2015-04-11
Find all providers in zip 21702

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518577170 Connie Wesley Lcmft LLC Community/Behavioral Health 111 Holling Dr, Frederick, MD 21701-5051 2020-08-07
1609495381 Kema Health Services Community/Behavioral Health 2083 Buell Dr, Frederick, MD 21702-3284 2020-04-13
1780215293 Andrew Campbell Counseling, LLC Community/Behavioral Health 1 W Church St Ste 3, Frederick, MD 21701-5992 2020-02-03
1689180119 Harwood Behavioral Health Partners, LLC Community/Behavioral Health 300 B Scholls Lane, Frederick, MD 21701 2017-12-20
1861917395 Child Quest LLC Community/Behavioral Health 5716 Industry Ln Ste G, Frederick, MD 21704-5201 2017-08-05
1104352368 Mentor-maryland Community/Behavioral Health 5970 Frederick Crossing Lane, #202, Frederick, MD 21704 2017-05-10
1467983171 Aaron Todd Heaton Psychologist Community/Behavioral Health 365 W Patrick St, Suite 205, Frederick, MD 21701-4854 2017-03-23
1609326842 Family Support Services Community/Behavioral Health 300 W. Patrick St, Frederick, MD 21701-4914 2016-10-12
1245603802 Way Station, Inc. Community/Behavioral Health 10304 Putman Rd, Frederick, MD 21702-1838 2015-11-04
1487082293 Btst Services LLC Community/Behavioral Health 7190 Crestwood Blvd Ste 400, Frederick, MD 21703-7318 2013-10-15
Find all providers in FREDERICK

Competitor

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City FREDERICK
Zip Code 21702

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Dataset Information

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.

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