Organization
LIFES ENERGY WELLNESS CENTER INC.
Active
Other names
Life's Energy Wellness Center Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA KELLEY-FREEMAN (CEO)
(800) 867-2395
Entity
Organization
Contact information
Practice address
514 POPLAR ST, CAMBRIDGE, MD 21613-1834
(800) 867-2395
(410) 443-0842
Mailing address
PO BOX 123, EASTON, MD 21601-8901
(800) 867-2395
(410) 443-0842
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
05/10/2019
Last updated
05/15/2019
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