Healthcare Provider Details

I. General information

NPI: 1891640652
Provider Name (Legal Business Name): WORTHLIFE HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8015 CORPORATE DR STE K
BALTIMORE MD
21236-5917
US

IV. Provider business mailing address

8015 CORPORATE DR STE K
BALTIMORE MD
21236-5917
US

V. Phone/Fax

Practice location:
  • Phone: 443-373-5744
  • Fax: 443-585-8220
Mailing address:
  • Phone:
  • 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: EBUNOLUWA EFE
Title or Position: PROVIDER
Credential:
Phone: 443-722-9209