LIFES ENERGY WELLNESS CENTER INC. (NPI# 1902462427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902462427 |
| Entity Type | Organization |
| Organization Name | LIFES ENERGY WELLNESS CENTER INC. |
| Other Organization Name | LIFE'S ENERGY WELLNESS CENTER INC. |
| Practice Address |
8737 Brooks Dr Ste 108 Easton MD 21601-7474 |
| Mailing Address |
Po Box 123 Easton MD 21601-8901 |
| Practice Telephone | 8008672395 |
| Practice Fax Number | 4104430842 |
| Mailing Telephone | 8008672395 |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-15 |
| Authorized Official Name | ANDREA KELLEY-FREEMAN (CEO) |
| Authorized Official Telephone | 8008672395 |
| Authorized Official Credential | LCPC, LCADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| N | 103TP0814X |
Psychologist Specialization: Psychoanalysis |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
Nursing Service Providers | ||
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
Nursing Service Providers | ||
| N | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Life's Energy Wellness Center Inc. | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1811486962 | Lifes Energy Wellness Center Inc. | Registered Nurse | 8737 Brooks Dr Ste 108, Suite 108, Easton, MD 21601-7474 | 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 |
| 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 |
| 1679139125 | Nicole Morris | Counselor | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2019-05-09 |
| 1811486962 | Lifes Energy Wellness Center Inc. | Registered Nurse | 8737 Brooks Dr Ste 108, Suite 108, Easton, MD 21601-7474 | 2018-05-04 |
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
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| 1407996424 | Lehigh Valley Community Mental Health Center | Clinic/Center | 226 Northampton St, Easton, PA 18042-3676 | 2007-02-07 |
| 1144820895 | Concern-professional Services for Children, Youth & Families | Clinic/Center | 175 S 21st St, Easton, PA 18042-3835 | 2020-10-30 |
| 1083211205 | Concern-professional Services for Children, Youth & Families | Clinic/Center | 2000 S 25th St, Easton, PA 18042-6031 | 2020-10-01 |
| 1376178392 | Concern-professional Services for Children, Youth & Families | Clinic/Center | 2400 Firmstone St, Easton, PA 18042-6038 | 2020-03-10 |
| 1326693607 | Chesapeake Reflections, LLC | Clinic/Center | 10 S Hanson St Ste 30, Easton, MD 21601-3078 | 2019-08-05 |
| 1306498225 | B.n.j. Health Services, LLC Easton | Clinic/Center | 505 Dutchmans Ln Ste B2, Easton, MD 21601-4302 | 2019-07-11 |
| 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.