MEDICARE: LIFE SPRING COUNSELING AND CONSULTING SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	302F00000X	Exclusive Provider Organization

General Provider Information

NPI Number	:	1477983468
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE SPRING COUNSELING AND CONSULTING SERVICES LLC

Provider Business Mailing Address
First Line	:	1007 BALSAMTREE DR
Second Line	:
City	:	CAPITOL HEIGHTS
State	:	MD
Zip	:	20743-1431
Country	:	US
Telephone Number	:	301-356-3271
Fax Number	:

Provider Business Practice Location Address
First Line	:	1007 BALSAMTREE DR
Second Line	:
City	:	CAPITOL HEIGHTS
State	:	MD
Zip	:	20743-1431
Country	:	US
Telephone Number	:	301-356-3271
Fax Number	:

Authorized Official
Title or Position	:	COUNSELOR/THERAPIST
Name	:	MS. ARLEEN LOUISE FAULKNER
Credential	:	LCPC
Telephone Number	:	301-356-3271

Provider Enumeration Date	:	11/12/2013
Last Update Date	:	02/12/2026

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