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
Phone: (301) 804-8279
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205213527 | NPPES |
Maryland | MEDICAID | 755104500 |
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