| Healthy Lives, Llc | |
|
1001 Pine Heights Ave Ste 303 Baltimore MD 21229-5202 | |
| (443) 219-7901 | |
| (443) 835-2521 |
| Full Name | Healthy Lives, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1001 Pine Heights Ave Ste 303, Baltimore, Maryland |
| Authorized Official Name and Position | Ahmein Watson (CEO) |
| Authorized Official Contact | 4437223116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Lives, Llc 1001 Pine Heights Ave Ste 303 Baltimore MD 21229-5202 Ph: (443) 219-7901 | Healthy Lives, Llc 1001 Pine Heights Ave Ste 303 Baltimore MD 21229-5202 Ph: (443) 219-7901 |
| NPI Number | 1174905640 |
|---|---|
| Provider Enumeration Date | 06/22/2015 |
| Last Update Date | 10/04/2023 |
| Certification Date | 10/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174905640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 16481 (Maryland) | Primary |
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