Lifetime Changes Behavior Services Llc

LBN: Lifetime Changes Behavior Services Llc
Lifetime Changes Behavior Services Llc is an health care organization with primary practice located at 683 Henderson Ave Ste A , Staten Island NY 10310-1575. The organization recently has 9 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Agencies / Early Intervention Provider Agency is the primary health care specialty. Lifetime Changes Behavior Services Llc can be contacted via phone (929) 256-0231, or through Van Dyke, Dana via phone (929) 256-0231.

Contact Information

Primary practice address
683 Henderson Ave Ste A Staten Island NY 10310-1575
Phone: (929) 256-0231
Fax: (718) 732-2628
Website:
Map and Directions
Authorized official contact:
Name: Van Dyke, Dana Master of Education (MED)
Phone: (929) 256-0231

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1578182770
LBN Legal business name Lifetime Changes Behavior Services Llc
DBA Doing business as
Authorized official Van Dyke, Dana Master of Education (MED)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2020
Last updated May 25th, 2021 - about 3 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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