Organization
LIFE ENHANCEMENT SPECIALIST LLC
Active
Other names
Pioneer Life Enhancement Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADEELAH CATHCART (MANAGING MEMBER)
(443) 447-8509
Entity
Organization
Contact information
Practice address
805 N CALVERT ST, BALTIMORE, MD 21202-3705
(443) 447-8509
Mailing address
805 N CALVERT ST, BALTIMORE, MD 21202-3705
(443) 447-8509
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/18/2020
Last updated
12/07/2020
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