Diversified Lifestyle Services

LBN: Diversified Lifestyle Services
Diversified Lifestyle Services is an health care organization with primary practice located at 1300 I St Nw Suite 400E, Washington DC 20005-3314. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Counselor 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
1300 I St Nw Suite 400E Washington DC 20005-3314
Fax:
Website:
Authorized official contact:
Name: Lancaster, Antoinette LPC, LCPC, NCC, MAC

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X PRC14152 District of Columbia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CACII1131 District of Columbia

Profile Details

NPI number 1205213527
LBN Legal business name Diversified Lifestyle Services
DBA Doing business as Diversified Lifestyle Services
Authorized official Lancaster, Antoinette LPC, LCPC, NCC, MAC
Entity Organization
Organization subpart 1 Yes
Enumeration date May 6th, 2015
Last updated Dec 10th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205213527 NPPES
Maryland MEDICAID 755104500

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