Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chmg Corelife, LLC

Organization Mental Health Counselor · NPI 1316654460

Chmg Corelife, LLC is a Mental Health Counselor in Waldorf, Maryland. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1036 Saint Nicholas Dr Unit 101
Waldorf, MD 20603-4758
Phone: (240) 261-7170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Mental Health Counselor Taxonomy 101YM0800X
Social Worker Taxonomy 104100000X
Obesity Medicine (Psychiatry & Neurology) Physician Taxonomy 2084B0002X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1316654460
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carolyn Heithaus — Cfo · (410) 535-8236
NPI enumeratedOctober 28, 2022
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024
Mailing address1099 Winterson Rd Ste 300, Linthicum Heights, MD 21090-2279

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