| Life Connection Services | |
|
705 Walnut Grove Rd Baltimore MD 21221-6061 | |
| (443) 559-0450 | |
| Not Available |
| Full Name | Life Connection Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 705 Walnut Grove Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Terri Fields (OFFICE MANAGER) |
| Authorized Official Contact | 4435590450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Connection Services 705 Walnut Grove Rd Baltimore MD 21221-6061 Ph: () - | Life Connection Services 705 Walnut Grove Rd Baltimore MD 21221-6061 Ph: (443) 559-0450 |
| NPI Number | 1942735022 |
|---|---|
| Provider Enumeration Date | 04/26/2017 |
| Last Update Date | 04/26/2017 |
| Medicare PECOS PAC ID | 7618354515 |
|---|---|
| Medicare Enrollment ID | O20220516000789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942735022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Nicole White-samuels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386193282 PECOS PAC ID: 6608294228 Enrollment ID: I20200915000666 |
Trinity Healthcare Services Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4701 Belair Rd, Baltimore, MD 21206 Phone: 410-325-1850 | |
Michael B. Freedman Phd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6006 Park Heights Ave, Baltimore, MD 21215 Phone: 410-790-8433 Fax: 443-501-3379 | |
Sankofa Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Key Hwy, Unit 442, Baltimore, MD 21230 Phone: 301-758-3682 | |
Home Free Iop Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W Madison St Ste 11, Baltimore, MD 21201 Phone: 443-438-5239 | |
All Walks Of Life, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 E 25th St, Baltimore, MD 21218 Phone: 410-558-0019 | |
Devaughn Intervention Teach And Treat Options Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4804 York Rd Ste 2, Baltimore, MD 21212 Phone: 443-873-8958 Fax: 443-873-8959 | |
Darryl M Coleman Md Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 N Monroe St, Baltimore, MD 21223 Phone: 443-708-4391 Fax: 443-708-4436 |