LIFE ENHANCEMENT SERVICES OF MD, LLC
NPI 1770283343
Clinic/Center - Mental Health (Including Community Mental Health Center) in Baltimore, MD

NPI Status: Active since March 03, 2023

Contact Information

6340 SECURITY BLVD STE 100
BALTIMORE, MD
ZIP 21207
Phone: (202) 269-2401
Fax: (202) 269-2403

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About LIFE ENHANCEMENT SERVICES OF MD, LLC

This page provides the complete NPI Profile along with additional information for Life Enhancement Services Of Md, Llc, a provider established in Baltimore, Maryland operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1770283343 assigned on March 2023. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Herbert A Gray (Ceo/managing Member)

NPI
1770283343
Provider Name
LIFE ENHANCEMENT SERVICES OF MD, LLC
Entity Type
Organization
Location Address
6340 SECURITY BLVD STE 100 BALTIMORE, MD 21207
Location Phone
(202) 269-2401
Location Fax
(202) 269-2403
Mailing Address
6340 SECURITY BLVD STE 100 BALTIMORE, MD 21207
Mailing Phone
(202) 269-2401
Mailing Fax
(202) 269-2403
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-03-2023
Last Update Date
03-03-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HERBERT A GRAY

Authorized Official Title
CEO/MANAGING MEMBER
Authorized Official Phone
(202) 269-2401

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770283343
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2714048638
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 4 + 8 + 6 + 3 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1770283343 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1881365294SWIFTCARE OF MD, PC
Organization
Nurse Practitioner (Family)6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
(434) 665-4100
1154978757 LA SHANAH HOLMES
Individual
Behavior Technician6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
(818) 241-6780
1023747425 AARON MAURICE SCOTT
Individual
Psychologist (Rehabilitation)6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
(410) 600-3467
1366015455LIFE ENHANCEMENT SERVICES OF MD, LLC
Organization
Community/Behavioral Health6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
(202) 269-2401
1992335053 KELECHI MADUCHUKWU
Individual
Social Worker (Clinical)6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
(301) 219-0634
1578062055DIVINE BEAUTY & WELLNESS LLC
Organization
Specialist (Prosthetics Case Management)6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
(410) 304-3127
1649629064 TYRAHNA JEFFERSON CRANIAL PROSTHESIS
Individual
Specialist (Prosthetics Case Management)6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
(410) 304-3127
1679345177 DANETTE WIGGINS
Individual
Technician, Pathology (Phlebotomy)6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
(443) 739-0784
1649046640DYNAMIC HEALTHCARE SOLUTIONS LLC
Organization
Clinic/Center (Adult Mental Health)6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
(484) 541-3678
1568093177LIVETRUE WELLNESS LLC
Organization
Clinic/Center (Adult Mental Health)6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
(301) 323-8265
1790562510MS. CANDACE WALLACE CPT
Individual
Technician, Pathology (Phlebotomy)6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
(443) 272-1423
1407617558 LOVETTE NKONTAN HAIRLOSS PRACTITION
Individual
Prosthetist6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
(410) 220-6345
1033976105HER PROSERVICES
Organization
Clinic/Center (Health Service)6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
(202) 696-8840
1447963210WELLNITE MEDICAL GROUP PA
Organization
Psychiatry & Neurology (Psychiatry)6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
(877) 644-6008
1114777513ONE STOP WELLNESS
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
(347) 455-1225
1467212787 JAVIEN WALLACE LABORIEL
Individual
Behavior Technician6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
(855) 295-3276
1841725066 LATIFAT RAIMI
Individual
Nurse Practitioner (Family)6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
(347) 455-1225
1861248221METANOIA LIFE CENTER, LLC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
(410) 929-1465
1548019458HEAD START ABA LLC
Organization
Behavior Analyst6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
(917) 217-3641
1679539464 ZAKARI ALIYU MD
Individual
Internal Medicine (Hematology & Oncology)6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
(410) 368-3120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770283343, enumerated in the NPI registry as an "organization" on March 03, 2023

The provider is located at 6340 Security Blvd Ste 100 Baltimore, Md 21207 and the phone number is (202) 269-2401

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on March 03, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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