| Aspire Life Center Llc | |
|
11601 Still Pond Rd Worton MD 21678-1706 | |
| (302) 530-4452 | |
| Not Available |
| Full Name | Aspire Life Center Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 11601 Still Pond Rd, Worton, Maryland |
| Authorized Official Name and Position | Chenelle Pettiford (OWNER) |
| Authorized Official Contact | 3025304452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Life Center Llc 11601 Still Pond Rd Worton MD 21678-1706 Ph: (302) 530-4452 | Aspire Life Center Llc 11601 Still Pond Rd Worton MD 21678-1706 Ph: (302) 530-4452 |
| NPI Number | 1508576703 |
|---|---|
| Provider Enumeration Date | 11/29/2022 |
| Last Update Date | 11/29/2022 |
| Certification Date | 11/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508576703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |