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ONE ALKALINE LIFE, LLC
NPI 1104572775
Counselor - Mental Health in Waldorf, MD

Active since February 23, 2022
1036 SAINT NICHOLAS DR UNIT 102, WALDORF, MD 20603(410) 934-0580(410) 834-1217 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2025, Jul 6, 2025, May 15, 2024 and 2 more (5 updates tracked since 2022).

About One Alkaline Life, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ONE ALKALINE LIFE, LLC (NPI 1104572775) is a healthcare organization registered as a mental health in Waldorf, Maryland and active in the NPI registry since February 2022. The organization lists Lester Stevens, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104572775
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameONE ALKALINE LIFE, LLC
Location Address1036 SAINT NICHOLAS DR UNIT 102Waldorf, MD 20603-4758
Mailing Address1036 Saint Nicholas Dr Unit 102Waldorf, MD 20603-4758 · (410) 934-0580 · Fax (410) 834-1217
Phone(410) 934-0580
Fax(410) 834-1217
Organization SubpartNo
Authorized OfficialLester StevensCeo · (410) 934-0581
Enumeration DateFebruary 23, 2022
Last NPPES UpdateJuly 8, 20255 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1104572775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1036 SAINT NICHOLAS DR UNIT 102, Waldorf, MD 20603
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Other Identifiers 1

Medicaid317218000MD

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RADWA ELSAYED
Counselor (Mental Health)
1036 SAINT NICHOLAS DR UNIT 102
WALDORF, MD 20603
Charles County (410) 934-0580
ARRION MIKAEL HOLT MT
Massage Therapist
1036 SAINT NICHOLAS DR UNIT 102
WALDORF, MD 20603
Charles County (410) 934-0580
ARIARNA M ODOM LGPC
Counselor (Professional)
1036 SAINT NICHOLAS DR UNIT 102
WALDORF, MD 20603
Charles County (410) 934-0580
ONE ALKALINE LIFE LLC
Counselor (Mental Health)
1036 SAINT NICHOLAS DR UNIT 102
WALDORF, MD 20603
Charles County (410) 934-0580
TEBINE J OTUBU
Social Worker
1036 SAINT NICHOLAS DR UNIT 102
WALDORF, MD 20603
Charles County (410) 934-0580
LYNTON M MCCRAE RMP
Massage Therapist
1036 SAINT NICHOLAS DR UNIT 102
WALDORF, MD 20603
Charles County (410) 934-0580

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is One Alkaline Life, LLC's NPI number?

The NPI number for One Alkaline Life, LLC is 1104572775. It was assigned to this organization in the NPPES registry on February 23, 2022.

Where is One Alkaline Life, LLC located?

One Alkaline Life, LLC is located at 1036 Saint Nicholas Dr Unit 102, Waldorf, MD 20603. The listed phone number is (410) 934-0580.

What is One Alkaline Life, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for One Alkaline Life, LLC was last updated on July 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.