Healthcare Provider Details
I. General information
NPI: 1285556092
Provider Name (Legal Business Name): LIVE & NOT DIE OUTREACH MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3631 LIBERTY HEIGHTS AVE APT B3
BALTIMORE MD
21215-7147
US
IV. Provider business mailing address
3631 LIBERTY HEIGHTS AVE APT B3
BALTIMORE MD
21215-7147
US
V. Phone/Fax
- Phone: 240-273-1391
- Fax:
- Phone: 240-273-1391
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP1600X |
| Taxonomy | Pastoral Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374K00000X |
| Taxonomy | Religious Nonmedical Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAMES
D
LAYNE
Title or Position: FOUNDER/PASTOR
Credential: D.DIV
Phone: 240-872-8065