| NPI | 1902462427 |
|---|---|
| Doing Business As | LIFE'S ENERGY WELLNESS CENTER INC. |
| Entity Type | Organization |
| Authorized Contact | ANDREA KELLEY-FREEMAN CEO 800-867-2395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TC1900X Psychologist, Counseling | |
| 103TP0814X Psychologist, Psychoanalysis | |
| 104100000X Social Worker | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-15 |