Life Matters Wellness

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LIFE MATTERS WELLNESS

Practice address

139 N Main St Ste 202
Bel Air, MD 21014-8800

Phone

(443) 226-5495

Fax

(410) 431-3564

NPI assigned

Nov 20, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Toni Allayne Boulware Stackhouse, LCPCNPI 1578102174

Title

Owner/Operator

Phone

(144) 322-6549

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Toni Allayne Boulware Stackhouse

  • Mental Health Counselor
  • Havre de Grace, MD
  • NPI 1578102174
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1740141688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 N MAIN ST STE 202",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210148800",
            "telephone_number": "443-226-5495",
            "fax_number": "410-431-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 N MAIN ST STE 202",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210148800",
            "telephone_number": "443-226-5495",
            "fax_number": "410-431-3564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 Painters Mill Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211173657",
            "country_code": "US",
            "telephone_number": "410-656-3565",
            "fax_number": "410-431-3564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE MATTERS WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "BOULWARE STACKHOUSE",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "ALLAYNE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "144-322-6549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Efrat Levner, OTRL
• Chanan Levy, MD
• Laura Beth Lewis, RN, MSN, ACNP
• Shanti E Lewis, RD
• Bethany Ann Liberto, PTA
• Lifebridge Community Physicians Inc
• Lifebridge Community Physicians, Inc (LifeBridge Orthopedics of BelAir)
• Lifebridge Community Physicians, Inc (Lifebridge Cardiology of Bel Air LLC)
• Lifebridge Community Physicians, Inc (Dr Vincent Giminaro)
• Lifebridge Orthopedic Specialists, LLC

• Mental Health Counselor in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.