The Life Center Complex, Inc · General Practice Physician

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

Overview

The Life Center Complex, Inc is a General Practice Physician (organization) practicing in Dover, Delaware. The National Provider Identifier (NPI) is #1770426066, 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 1570 N Dupont Hwy, Dover, DE 19901-2215; the contact telephone number is 3024075316. The primary taxonomy of The Life Center Complex, Inc is General Practice Physician (208D00000X). The authorized official for The Life Center Complex, Inc is Forrest Watson III (Ceo).

Provider Information

NPI 1770426066
Entity Type Organization
Organization Name THE LIFE CENTER COMPLEX, INC
Provider Name THE LIFE CENTER COMPLEX, INC
Practice Address 1570 N Dupont Hwy
Dover
DE 19901-2215
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
N363LF0000XNurse PractitionerFamily193200000X MULTI-SPECIALTY GROUP
N1041C0700XSocial WorkerClinical193200000X MULTI-SPECIALTY GROUP
N2083P0901XPreventive MedicinePublic Health & General Preventive Medicine193200000X MULTI-SPECIALTY GROUP
Y208D00000XGeneral Practice193200000X MULTI-SPECIALTY GROUP

Other Provider Names

Other Organization NameType
The Life Health Center at Early CollegeDoing Business As Name

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
The Life Center Complex, Inc 812 Philadelphia Pike Ste F, Wilmington, DE 19809-2371General Practice Dentistry2025-08-13
The Life Center Complex, Inc 1200 N French St, Wilmington, DE 19801-3239General Practice Physician2025-10-23
The Life Center Complex, Inc 750 E Delaware Ave, Newark, DE 19711-7185Clinical Social Worker2026-04-11
The Life Center Complex, Inc 713 E Basin Rd, New Castle, DE 19720-4201Clinical Social Worker2026-04-11
The Life Center Complex, Inc 852 S Little Creek Rd, Dover, DE 19901-4722Clinical Social Worker2026-04-11
The Life Center Complex, Inc 190 Salem Church Rd, Newark, DE 19713-2938Clinical Social Worker2026-04-11
The Life Center Complex, Inc 1200 N French St Fl 6, Wilmington, DE 19801-3239Primary Care Nurse Practitioner2025-12-01

Taxonomy Information

Primary Taxonomy

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

Other Taxonomy

Code 363LF0000X
Taxonomy Family Nurse Practitioner
Classification Nurse Practitioner
Specialization Family
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

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 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.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Integrated Urology Network LLC 4425 S Pecos Rd Ste 3, Las Vegas, NV 89121-5039General Practice Physician2026-04-08
Medstar Medical Group II LLC 17340 Quaker Ln, Sandy Spring, MD 20860-1247General Practice Physician2026-04-09
Medstar Medical Group II LLC 4201 Connecticut Ave Nw, Washington, DC 20008-1158General Practice Physician2026-04-09
Dade Family & Specialty Care 7100 Sw 99th Ave Ste 204, Miami, FL 33173-4668General Practice Physician2026-04-09
Vianova Health Solutions Calle Tinto 1733 Esquina Ave. Lomas Verdes, San Juan, PR 00926General Practice Physician2026-04-10
Meridian Direct Primary Care LLC 3524 N Meridian St, Indianapolis, IN 46208-4486General Practice Physician2026-04-11
Medstar Medical Group II LLC 4700 Berwyn House Rd, College Park, MD 20740-2474General Practice Physician2026-04-09
Elitecare Svcs 27462 Portola Pkwy Ste 100, Foothill Ranch, CA 92610-2838General Practice Physician2026-04-08
Proxy Medical Group PC 101 E Washington St, Phoenix, AZ 85004-2960General Practice Physician2026-04-08
Medstar Medical Group II LLC 5410 Edson Ln, Rockville, MD 20852-3107General Practice 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
Caroline Foulke 510 Philadelphia Pike, Wilmington, DE 19809-2100Community/Behavioral Health Agency2026-04-06
Abigail Elise Jones 501 Silverside Rd Ste 50, Wilmington, DE 19809-1388Clinical Social Worker2023-06-08
Bridget K Kennedy 405 Silverside Rd Ste 200, Wilmington, DE 19809-1768Occupational Therapist2026-01-27
Open Door Behavioral Health Services LLC 501 Silverside Rd Ste 16, Wilmington, DE 19809-1375Psychiatric/Mental Health Nurse Practitioner2025-09-11
Chee Houe Woo 405 Silverside Rd Ste 104, Wilmington, DE 19809-1768Interventional Pain Medicine Physician2005-07-13
Cora Logistics LLC 1201 Philadelphia Pike, Wilmington, DE 19809-2042Non-emergency Medical Transport (VAN)2025-12-16
Chanell Brooker-Knight 501 Silverside Rd Ste 61, Wilmington, DE 19809-1394Psychiatric/Mental Health Nurse Practitioner2021-11-07
Dorothy Nyabiosi 501 Silverside Rd Ste 25, Wilmington, DE 19809-1375Psychiatric/Mental Health Nurse Practitioner2025-10-20
Lauren Conley 405 Silverside Rd Ste 200, Wilmington, DE 19809-1768Occupational Therapist2025-11-06
Kerrigan Cesar 510 Philadelphia Pike, Wilmington, DE 19809-2100Behavior Technician2021-08-07
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
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
Way of Life Wellness Center LLC 6 Westwood Rd, Mays Landing, NJ 08330-3439Mental Health Counselor2025-10-23
Life Healing Center LLC 31 Calle Munoz Rivera # P-1b, Vega Baja, PR 00693-4423Chiropractor2025-09-17
The Life Center Complex, Inc. 1901 S College Ave, Newark, DE 19702-2377Clinical Social Worker2026-04-11
New Life Medical Center LLC 5783 Bayshore Rd Ste 114, North Fort Myers, FL 33917-3006Clinic/Center2025-12-03
New Life Center LLC 90 Fort Wade Rd Ste 100-1028, Ponte Vedra, FL 32081-5146Clinical Social Worker2025-11-07
Life Center Columbus, LLC 1455 E Main St, Columbus, OH 43205-2152Social Worker2025-08-28
Kilgore Life Center 1711 S Henderson Blvd Ste 300, Kilgore, TX 75662-3563Health Service Clinic/Center2008-05-15
Life Center, Inc 15419 Middlebelt Rd, Livonia, MI 48154-3805Mental Illness Community Based Residential Treatment Facility2007-01-18
New Life Treatment Center Inc. 331 E Adams St, Santa Ana, CA 92707-3509Substance Abuse Rehabilitation Facility2016-07-29

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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.