Lifestream Behavioral Center Inc
LBN: Lifestream Behavioral Center Inc
Lifestream Behavioral Center Inc is an health care organization with primary practice located at 2020 Talley Rd , Leesburg FL 34748-3426. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Allopathic & Osteopathic Physicians / Psychiatry, Agencies / Case Management, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Hospitals / Psychiatric Hospital, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Hospitals / Psychiatric Hospital is the primary health care specialty.
Lifestream Behavioral Center Inc can be contacted via phone (352) 315-7800, or through Dozier, Carol E via phone (352) 315-7532.
Contact Information
Primary practice address
2020 Talley Rd
Leesburg FL 34748-3426
Phone: (352) 315-7800
Fax: (352) 315-6595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Agencies / Case Management | 251B00000X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Hospitals / Psychiatric Hospital | 283Q00000X | 4075 | Florida |
| Residential Treatment Facilities / Psychiatric Residential Treatment Facility | 323P00000X |
Profile Details
| NPI number | 1902802002 |
|---|---|
| LBN Legal business name | Lifestream Behavioral Center Inc |
| DBA Doing business as | |
| Authorized official | Dozier, Carol E CPA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Jul 18th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902802002 | NPPES |
| Florida | MEDICAID | 060334100 | |
| Florida | Other | 151443 | |
| Florida | MEDICAID | 060334108 | |
| Florida | MEDICAID | 060334102 | |
| Florida | Other | 98270 | |
| Florida | Other | E-83 | |
| Florida | MEDICAID | 024576301 | |
| Florida | MEDICAID | 060334105 | |
| Florida | MEDICAID | 360181100 |
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