LEAD4LIFE, INC. (NPI# 1326695073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 201507200 | 05 |
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 |
Street Address |
176 THOMAS JOHNSON DR STE 203 |
City | FREDERICK |
State | MD |
Zip Code | 21702-4535 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427604099 | Ecarenow LLC | Clinic/Center | 176 Thomas Johnson Dr Ste 203, Frederick, MD 21702-4535 | 2019-08-09 |
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 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 |
---|---|---|---|---|
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 |
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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.