The Life Center Complex, Inc. · Public Health & General Preventive Medicine Physician

812 Philadelphia Pike Ste F, Wilmington, DE 19809-2371

Overview

The Life Center Complex, Inc. is a Public Health & General Preventive Medicine Physician (organization) practicing in Newark, Delaware. The National Provider Identifier (NPI) is #1548103831, which was assigned on April 11, 2026, and the registration record was last updated on April 11, 2026. The practitioner's main practice location is at 1901 S College Ave, Newark, DE 19702-2377; the contact telephone number is 3024075316. The primary taxonomy of The Life Center Complex, Inc. is Public Health & General Preventive Medicine Physician (2083P0901X), with specialization in Public Health & General Preventive Medicine. The authorized official for The Life Center Complex, Inc. is Forrest Watson III (Ceo).

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

Provider Information

NPI 1548103831
Entity Type Organization
Organization Name THE LIFE CENTER COMPLEX, INC.
Provider Name THE LIFE CENTER COMPLEX, INC.
Practice Address 1901 S College Ave
Newark
DE 19702-2377
Practice Telephone 3024075316
Mailing Address 812 Philadelphia Pike Ste F
Wilmington
DE 19809-2371
Mailing Telephone 3024075316
Certification Date 2026-04-11
Enumeration Date 2026-04-11
Last Update Date 2026-04-11
Is Organization Subpart N

Authorized Official Information

Official Name FORREST WATSON III
Official Title CEO
Telephone 3024075316

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N1041C0700XSocial WorkerClinical193200000X MULTI-SPECIALTY GROUP
N363LP0200XNurse PractitionerPediatrics193200000X MULTI-SPECIALTY GROUP
N208D00000XGeneral Practice193200000X MULTI-SPECIALTY GROUP
Y2083P0901XPreventive MedicinePublic Health & General Preventive Medicine193200000X MULTI-SPECIALTY GROUP

Other Provider Names

Other Organization NameType
The Life Health Center at GlasgowDoing Business As Name

Taxonomy Information

Primary Taxonomy

Code 2083P0901X
Taxonomy Public Health & General Preventive Medicine Physician
Classification Preventive Medicine
Specialization Public Health & General Preventive Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine.

Other Taxonomy

Code 1041C0700X
Taxonomy Clinical Social Worker
Classification Social Worker
Specialization Clinical
Grouping Behavioral Health & Social Service Providers
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Other Taxonomy

Code 363LP0200X
Taxonomy Pediatric Nurse Practitioner
Classification Nurse Practitioner
Specialization Pediatrics
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

Other Taxonomy

Code 208D00000X
Taxonomy General Practice Physician
Classification General Practice
Grouping Allopathic & Osteopathic Physicians
Definition: Definition to come...

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Battle Ground Healthcare 1910 Sw 9th Ave, Battle Ground, WA 98604-3269Public Health & General Preventive Medicine Physician2026-04-06
Wilson Douglas Thorpe 1450 Poydras St, New Orleans, LA 70112-1227Public Health & General Preventive Medicine Physician2026-04-10
Stephanie Mascarello Deloach 802 Hwy 119 S, Springfield, GA 31329-3014Public Health & General Preventive Medicine Physician2026-03-18
Saeed Ur Rahman 1321 Lady St, Columbia, SC 29201-6240Public Health & General Preventive Medicine Physician2026-03-11
Resolve Solutions LLC 1221 N Cotton St Ste Q, El Paso, TX 79902-3015Public Health & General Preventive Medicine Physician2026-04-02
Lindsey Schmidt 200 S Main St, Rosendale, WI 54974-9642Public Health & General Preventive Medicine Physician2026-03-03
Mona Shah, Md, LLC 2919 W Swann Ave Ste 303, Tampa, FL 33609-4051Public Health & General Preventive Medicine Physician2026-04-08
Healthcare Naturally 102 E Wallowa Ave, Joseph, OR 97846-8495Public Health & General Preventive Medicine Physician2026-02-17
Selah Wellness, LLC 2307 S Campbell Ave, Springfield, MO 65807-2971Public Health & General Preventive Medicine Physician2026-03-12
Legend Wellness Clinic Inc 1919 North Loop W Ste 280, Houston, TX 77008-1368Public Health & General Preventive Medicine Physician2026-04-09
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Location Information

Street Address 812 PHILADELPHIA PIKE STE F
City WILMINGTON
State DE
Zip Code 19809-2371
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
The Life Center Complex, Inc 812 Philadelphia Pike Ste F, Wilmington, DE 19809-2371General Practice Dentistry2025-08-13

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Alexandria Corrine Hernandez · Alexandria Corrine Burton 510 Philadelphia Pike, Wilmington, DE 19809-2100Community/Behavioral Health Agency2026-01-27
Cheryl Ann Milhoan 17 Georgetown Ave, Wilmington, DE 19809-1200Registered Dietitian2025-12-27
Abigail Elise Jones 501 Silverside Rd Ste 50, Wilmington, DE 19809-1388Clinical Social Worker2023-06-08
Open Door Behavioral Health Services LLC 501 Silverside Rd Ste 16, Wilmington, DE 19809-1375Psychiatric/Mental Health Nurse Practitioner2025-09-11
Alea Marie Keough 405 Silverside Rd Ste 200, Wilmington, DE 19809-1768Physical Therapist2025-06-30
Cora Logistics LLC 1201 Philadelphia Pike, Wilmington, DE 19809-2042Non-emergency Medical Transport (VAN)2025-12-16
Andels Home Care 501 Silverside Rd Ste 28, Wilmington, DE 19809-1375In Home Supportive Care Agency2020-11-23
Chanell Brooker-Knight 501 Silverside Rd Ste 61, Wilmington, DE 19809-1394Psychiatric/Mental Health Nurse Practitioner2021-11-07
Wellspring Clinical Services L.L.C. 501 Silverside Rd Ste 25, Wilmington, DE 19809-1375Psychiatric/Mental Health Nurse Practitioner2026-01-22
Lauren Conley 405 Silverside Rd Ste 200, Wilmington, DE 19809-1768Occupational Therapist2025-11-06
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
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The Life Center Complex, Inc 750 E Delaware Ave, Newark, DE 19711-7185Clinical Social Worker2026-04-11
Life Healing Center LLC 31 Calle Munoz Rivera # P-1b, Vega Baja, PR 00693-4423Chiropractor2025-09-17
Sleep Life Center, LLC 5701 Overseas Hwy Ste 4, Marathon, FL 33050-2784Sleep Disorder Diagnostic Clinic/Center2025-12-16
The Life Center Complex, Inc 812 Philadelphia Pike Ste F, Wilmington, DE 19809-2371General Practice Dentistry2025-08-13
Desert Life Center LLC 1109 N Dysart Rd Ste B, Avondale, AZ 85323-1700Mental Health Clinic/Center (Including Community Mental Health Center)2025-12-12
Bethesda Life Center 201 Wall St, Gadsden, AL 35904-1940Hospice and Palliative Medicine (Family Medicine) Physician2025-11-28
Kilgore Life Center 1711 S Henderson Blvd Ste 300, Kilgore, TX 75662-3563Health Service Clinic/Center2008-05-15
Way of Life Wellness Center LLC 6 Westwood Rd, Mays Landing, NJ 08330-3439Mental Health Counselor2025-10-23

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.