1578182770 LIFETIME CHANGES BEHAVIOR SERVICES LLC

Early Intervention Provider Agency

Active

Basic Information

Organization Name
LIFETIME CHANGES BEHAVIOR SERVICES LLC
Enumeration Date
April 9, 2020
Last Update
May 25, 2021
Authorized Official
MS. DANA VAN DYKE M.ED
OWNER/PROGRAM DIRECTOR
Phone: (929) 256-0231

Practice Location

Address
683 HENDERSON AVE STE A
STATEN ISLAND, NY 103101575
Phone
(929) 256-0231
Fax
(718) 732-2628

Mailing Address

Address
683 HENDERSON AVE STE A
STATEN ISLAND, NY 103101575
Phone
(929) 256-0231

Specialties & Taxonomies

Specialty Code Classification License State Primary
Case Management Agency
251B00000X Case Management N/A N/A No
Developmentally Disabled Services Day Training Agency
251C00000X Day Training, Developmentally Disabled Services N/A N/A No
Community/Behavioral Health Agency
251S00000X Community/Behavioral Health N/A N/A No
Community Health Clinic/Center
Community Health
261QC1500X Clinic/Center N/A N/A No
Developmental Disabilities Clinic/Center
Developmental Disabilities
261QD1600X Clinic/Center N/A N/A No
Mental Health Clinic/Center (Including Community Mental Health Center)
Mental Health (Including Community Mental Health Center)
261QM0801X Clinic/Center N/A N/A No
Adult Mental Health Clinic/Center
Adult Mental Health
261QM0850X Clinic/Center N/A N/A No
Adolescent and Children Mental Health Clinic/Center
Adolescent and Children Mental Health
261QM0855X Clinic/Center N/A N/A No
Early Intervention Provider Agency
252Y00000X Early Intervention Provider Agency N/A N/A Primary

Additional Practice Locations

20 Cowen Pl Fl 1
Staten Island, NY 103032012

Phone: (929) 256-0231

Frequently Asked Questions

What is LIFETIME CHANGES BEHAVIOR SERVICES LLC's NPI number?
LIFETIME CHANGES BEHAVIOR SERVICES LLC's NPI number is 1578182770.
Which doctor has NPI number 1578182770?
The doctor with NPI number 1578182770 is LIFETIME CHANGES BEHAVIOR SERVICES LLC.
What is LIFETIME CHANGES BEHAVIOR SERVICES LLC's practice address?
LIFETIME CHANGES BEHAVIOR SERVICES LLC's practice address is 683 HENDERSON AVE STE A, STATEN ISLAND, NY, 103101575.
Which doctor practices at 683 HENDERSON AVE STE A, STATEN ISLAND, NY, 103101575?
LIFETIME CHANGES BEHAVIOR SERVICES LLC practices at 683 HENDERSON AVE STE A, STATEN ISLAND, NY, 103101575.
What is LIFETIME CHANGES BEHAVIOR SERVICES LLC's phone number?
LIFETIME CHANGES BEHAVIOR SERVICES LLC's phone number is (929) 256-0231.
Who is (929) 256-0231?
(929) 256-0231 is the phone number for LIFETIME CHANGES BEHAVIOR SERVICES LLC.
What is LIFETIME CHANGES BEHAVIOR SERVICES LLC's specialty?
LIFETIME CHANGES BEHAVIOR SERVICES LLC's specialty is Early Intervention Provider Agency.
What type of doctor is LIFETIME CHANGES BEHAVIOR SERVICES LLC?
LIFETIME CHANGES BEHAVIOR SERVICES LLC is a Early Intervention Provider Agency.
Is LIFETIME CHANGES BEHAVIOR SERVICES LLC a Early Intervention Provider Agency?
Yes, LIFETIME CHANGES BEHAVIOR SERVICES LLC is a Early Intervention Provider Agency.
Is LIFETIME CHANGES BEHAVIOR SERVICES LLC still practicing?
Yes, LIFETIME CHANGES BEHAVIOR SERVICES LLC is currently practicing.
Is LIFETIME CHANGES BEHAVIOR SERVICES LLC accepting new patients?
LIFETIME CHANGES BEHAVIOR SERVICES LLC may be accepting new patients. Please call their office at (929) 256-0231 to inquire about availability.
Is NPI 1578182770 still active?
Yes, NPI 1578182770 is currently active.
Where does LIFETIME CHANGES BEHAVIOR SERVICES LLC practice?
LIFETIME CHANGES BEHAVIOR SERVICES LLC practices in STATEN ISLAND, NY.