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 LCPC, LCADC (CEO)
(800) 867-2395
Entity
Organization
Contact information
Practice address
8737 BROOKS DR STE 108, EASTON, MD 21601-7474
(800) 867-2395
(410) 443-0842
Mailing address
PO BOX 123, EASTON, MD 21601-8901
(800) 867-2395
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
104100000X
Social Worker
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/10/2019
Last updated
05/15/2019
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