Lifespark Pllc
LBN: Lifespark Pllc
Lifespark Pllc is an health care organization with primary practice located at 106 Public Sq Ste 105 , Gallatin TN 37066. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Lifespark Pllc can be contacted via phone (615) 675-0025, or through Holland, Jason via phone (415) 702-8240.
Contact Information
Primary practice address
106 Public Sq Ste 105
Gallatin TN 37066
Phone: (615) 675-0025
Fax: (615) 675-0026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | ||
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X |
Profile Details
| NPI number | 1396217816 |
|---|---|
| LBN Legal business name | Lifespark Pllc |
| DBA Doing business as | |
| Authorized official | Holland, Jason PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 21st, 2018 |
| Last updated | Sep 9th, 2019 - 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 | 1396217816 | NPPES |
| Other | 1407328214 | NPPES ORGANIZATIONAL NPI FOR MEANINGFUL LIVING LLC | |
| Other | 1912478108 | NPPES ORGANIZATIONAL NPI FOR MEANINGFUL LIVING LLC |
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