Organization
LIFES ENERGY WELLNESS CENTER INC.
Active
Other names
Lifes Energy Wellness Cneter Inc., Lifes Energy Wellness Center Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MARIA 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
514 POPLAR ST, CAMBRIDGE, MD 21613-1834
(800) 867-2395
(410) 443-0842
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
514
—
MD
Enumeration date
12/07/2021
Last updated
12/07/2021
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