Organization
FAMILY LIFE FOUNDATION INCORPORATION
Active
Parent organization
FAMILY LIFE FOUNDATION
Other names
Family lIfe Foundation Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY LIFE FOUNDATION
Authorized official
ELIZABETH OWOLABI (CEO)
(443) 570-4860
Entity
Organization
Contact information
Practice address
11721 REISTERSTOWN RD, REISTERSTOWN, MD 21136-3320
(443) 405-3744
(443) 405-3778
Mailing address
11721 REISTERSTOWN RD, REISTERSTOWN, MD 21136-3320
(443) 405-3744
(443) 405-3778
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5766138000
NPI
MD
05
—
766138000
—
MD
Enumeration date
03/23/2018
Last updated
02/08/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us