Healthcare Provider Details

I. General information

NPI: 1992477624
Provider Name (Legal Business Name): PEOPLE ENCOURAGING & ENHANCING LIVES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2021
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 E MAIN ST STE 100
WESTMINSTER MD
21157-5509
US

IV. Provider business mailing address

280 E MAIN ST STE 100
WESTMINSTER MD
21157-5509
US

V. Phone/Fax

Practice location:
  • Phone: 443-814-5303
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: SHAWNISHA LUCAS
Title or Position: ADMINISTRATION
Credential:
Phone: 443-814-5030