MEDICARE: PEOPLE ENCOURAGING & ENHANCING LIVES, 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	3245S0500X	Children's Substance Abuse Rehabilitation Facility
2	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1992477624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEOPLE ENCOURAGING & ENHANCING LIVES, LLC

Provider Business Mailing Address
First Line	:	280 E MAIN ST STE 100
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21157-5509
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	280 E MAIN ST STE 100
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21157-5509
Country	:	US
Telephone Number	:	443-814-5303
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATION
Name	:	SHAWNISHA LUCAS
Credential	:
Telephone Number	:	443-814-5030

Provider Enumeration Date	:	09/30/2021
Last Update Date	:	09/25/2025

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