Diversified Lifestyle Services

LBN: Diversified Lifestyle Services
Diversified Lifestyle Services is an health care organization with primary practice located at 2255 Crain Hwy Ste 102 , Waldorf MD 20601-3186. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Diversified Lifestyle Services can be contacted via phone (301) 804-8279, or through Lancaster, Antoinette via phone (202) 239-5563.

Contact Information

Primary practice address
2255 Crain Hwy Ste 102 Waldorf MD 20601-3186
Phone: (301) 804-8279
Fax: (240) 204-8153
Website:
Map and Directions
Authorized official contact:
Name: Lancaster, Antoinette EDD, LCPC, NCC, MAC
Phone: (202) 239-5563

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1255814125
LBN Legal business name Diversified Lifestyle Services
DBA Doing business as
Authorized official Lancaster, Antoinette EDD, LCPC, NCC, MAC
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 7th, 2018
Last updated Dec 10th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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