Organization
ENRICHING LIVES SUPPORT SERVICES INC
Active
Parent organization
ENRICHING LIVES SUPPORT SERVICES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENRICHING LIVES SUPPORT SERVICES INC
Authorized official
JAQUISA NASH (CEO)
(443) 722-6116
Entity
Organization
Contact information
Practice address
5109 YORK RD, BALTIMORE, MD 21212-4399
(443) 332-5777
(443) 773-4504
Mailing address
5109 YORK RD, BALTIMORE, MD 21212-4399
(443) 332-5777
(443) 773-4504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/05/2026
Last updated
02/19/2026
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