# ONE ALKALINE LIFE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104572775
- **Authorized official:** LESTER STEVENS (CEO)
- **Authorized official phone:** (410) 934-0581

## Contact information

- **Practice address:** 1036 SAINT NICHOLAS DR UNIT 102, WALDORF, MD 20603-4758
- **Practice address phone:** (410) 934-0580
- **Practice address fax:** (410) 834-1217
- **Mailing address:** 1036 SAINT NICHOLAS DR UNIT 102, WALDORF, MD 20603-4758
- **Mailing address phone:** (410) 934-0580
- **Mailing address fax:** (410) 834-1217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |

## Other

- **Enumeration date:** 02/23/2022
- **Last updated:** 07/08/2025