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:
Map and Directions
Authorized official contact:
Name: Dozier, Carol E CPA
Phone: (352) 315-7532

Health care specialties

SpecialtyCodeLicense #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 12 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 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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