LIFES ENERGY WELLNESS CENTER INC. (NPI# 1811486962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811486962 |
| Entity Type | Organization |
| Organization Name | LIFES ENERGY WELLNESS CENTER INC. |
| Practice Address |
8737 Brooks Dr Ste 108 Suite 108 Easton MD 21601-7474 |
| Mailing Address |
Po Box 123 Easton MD 21601-8901 |
| Practice Telephone | 8008672395 |
| Mailing Telephone | 8008672395 |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |
| Authorized Official Name | ANDREA KELLEY-FREEMAN (CEO) |
| Authorized Official Telephone | 8008672395 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
Nursing Service Providers | ||
| N | 175T00000X | Peer Specialist | Other Service Providers | ||
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 225C00000X | Rehabilitation Counselor | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364SH0200X |
Clinical Nurse Specialist Specialization: Home Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
Nursing Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
BH000383 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 160020603 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
| 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 |
| 1316464951 | Lifes Energy Wellness Center Inc. | Counselor | 8737 Brooks Dr, Easton, MD 21601 | 2017-08-24 |
| Street Address |
8737 BROOKS DR STE 108 SUITE 108 |
| City | EASTON |
| State | MD |
| Zip Code | 21601-7474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558612010 | Jessica Hart Bass | Counselor | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2012-09-25 |
| 1326680091 | Andrea Dixon | Social Worker | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2019-10-14 |
| 1235790783 | Daphime Jackson | Counselor | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2019-06-25 |
| 1902462427 | Lifes Energy Wellness Center Inc. | Counselor | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2019-05-10 |
| 1679139125 | Nicole Morris | Counselor | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2019-05-09 |
| 1134636038 | Kathryn C Norman | Counselor | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2018-01-02 |
| 1477974277 | Andrea Maria Kelley-freeman | Counselor | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2013-12-20 |
| 1063840262 | Lateshia Jackson | Nurse Practitioner | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2013-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
| 1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
| 1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
| 1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
| 1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
| 1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
| Find all providers in zip 21601 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554233 | Scott T Reiman | Counselor | 1224 Whitehall Ave, Easton, PA 18045-5621 | 2020-06-26 |
| 1063739738 | Nooksack Central Management System | Counselor | 3003 Cabin Creek Road, Easton, WA 98925 | 2010-04-21 |
| 1164694410 | Cornelius Edwards | Counselor | 10 S Hanson St, Easton, MD 21601-3010 | 2008-03-27 |
| 1407042336 | Kim Michelle Chase | Counselor | 21 N Hanson St Ste 99-d, Easton, MD 21601-3144 | 2007-09-25 |
| 1891913737 | Trisha Andress | Counselor | 301 Bay St Ste 307, Easton, MD 21601-2796 | 2007-04-24 |
| 1952442238 | Talbot County Health Department Addictions Program | Counselor | 301 Bay Street, Suite 307, Easton, MD 21601-2796 | 2007-02-09 |
| 1083729602 | George M Cody | Counselor | 10 S Hanson St Ste 30, Easton, MD 21601-3078 | 2006-08-21 |
| 1144280389 | Sharon Virginia Elwell | Counselor | 1901 Hay Ter Lowr Level6, Easton, PA 18042 | 2006-03-23 |
| 1760009815 | Tyese Lorraine Aungst | Counselor | 241 N 13th St, Easton, PA 18042-3211 | 2020-07-05 |
| 1235790783 | Daphime Jackson | Counselor | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2019-06-25 |
| Find all providers in EASTON | ||||
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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.