Provider Demographics
NPI:1821860305
Name:PEOPLE ENCOURAGING & ENHANCING LIVES, LLC
Entity Type:Organization
Organization Name:PEOPLE ENCOURAGING & ENHANCING LIVES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAWNISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-605-5086
Mailing Address - Street 1:280 E MAIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5509
Mailing Address - Country:US
Mailing Address - Phone:410-751-3857
Mailing Address - Fax:
Practice Address - Street 1:280 E MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5509
Practice Address - Country:US
Practice Address - Phone:410-751-3857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-26
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility