Healthcare Provider Details

I. General information

NPI: 1831823574
Provider Name (Legal Business Name): MORELIFE SOLUTIONS MENTAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2022
Last Update Date: 10/02/2022
Certification Date: 10/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5335 REISTERSTOWN RD
BALTIMORE MD
21215-4401
US

IV. Provider business mailing address

626 OTTER CREEK RD
EDGEWOOD MD
21040-3604
US

V. Phone/Fax

Practice location:
  • Phone: 667-201-3790
  • Fax:
Mailing address:
  • Phone: 667-201-3790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MINA CADE
Title or Position: OWNER
Credential: CRNP
Phone: 410-615-3385