1902802002 LIFESTREAM BEHAVIORAL CENTER INC

Psychiatric Hospital

Active

Basic Information

Organization Name
LIFESTREAM BEHAVIORAL CENTER INC
Enumeration Date
June 23, 2005
Last Update
July 18, 2012
Authorized Official
MS. CAROL E DOZIER CPA
CFO
Phone: (352) 315-7532

Practice Location

Address
2020 TALLEY RD
LEESBURG, FL 347483426
Phone
(352) 315-7800
Fax
(352) 315-6595

Mailing Address

Address
PO BOX 491000
LEESBURG, FL 347491000
Phone
(352) 315-7500
Fax
(352) 360-6595

Specialties & Taxonomies

Specialty Code Classification License State Primary
Psychiatric Residential Treatment Facility
323P00000X Psychiatric Residential Treatment Facility N/A N/A No
Case Management Agency
251B00000X Case Management N/A N/A No
Psychiatry Physician
Psychiatry
2084P0800X Psychiatry & Neurology N/A N/A No
Clinical Child & Adolescent Psychologist
Clinical Child & Adolescent
103TC2200X Psychologist 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
Psychiatric Hospital
283Q00000X Psychiatric Hospital 4075 FL Primary

Other Identifiers

Identifier Type State Issuer
060334100 05 FL N/A
151443 01 FL WELLCARE PROVIDER #
060334108 05 FL N/A
060334102 05 FL N/A
98270 01 FL BCBS OUTPATIENT NUMBER
E-83 01 FL BCBS INPATIENT NUMBER
024576301 05 FL N/A
060334105 05 FL N/A
360181100 05 FL N/A

Frequently Asked Questions

What is LIFESTREAM BEHAVIORAL CENTER INC's NPI number?
LIFESTREAM BEHAVIORAL CENTER INC's NPI number is 1902802002.
Which doctor has NPI number 1902802002?
The doctor with NPI number 1902802002 is LIFESTREAM BEHAVIORAL CENTER INC.
What is LIFESTREAM BEHAVIORAL CENTER INC's practice address?
LIFESTREAM BEHAVIORAL CENTER INC's practice address is 2020 TALLEY RD, LEESBURG, FL, 347483426.
Which doctor practices at 2020 TALLEY RD, LEESBURG, FL, 347483426?
LIFESTREAM BEHAVIORAL CENTER INC practices at 2020 TALLEY RD, LEESBURG, FL, 347483426.
What is LIFESTREAM BEHAVIORAL CENTER INC's mailing address?
LIFESTREAM BEHAVIORAL CENTER INC's mailing address is PO BOX 491000, LEESBURG, FL, 347491000.
What is LIFESTREAM BEHAVIORAL CENTER INC's phone number?
LIFESTREAM BEHAVIORAL CENTER INC's phone number is (352) 315-7800.
Who is (352) 315-7800?
(352) 315-7800 is the phone number for LIFESTREAM BEHAVIORAL CENTER INC.
What is LIFESTREAM BEHAVIORAL CENTER INC's specialty?
LIFESTREAM BEHAVIORAL CENTER INC's specialty is Psychiatric Hospital.
What type of doctor is LIFESTREAM BEHAVIORAL CENTER INC?
LIFESTREAM BEHAVIORAL CENTER INC is a Psychiatric Hospital.
Is LIFESTREAM BEHAVIORAL CENTER INC a Psychiatric Hospital?
Yes, LIFESTREAM BEHAVIORAL CENTER INC is a Psychiatric Hospital.
Is LIFESTREAM BEHAVIORAL CENTER INC still practicing?
Yes, LIFESTREAM BEHAVIORAL CENTER INC is currently practicing.
Is LIFESTREAM BEHAVIORAL CENTER INC accepting new patients?
LIFESTREAM BEHAVIORAL CENTER INC may be accepting new patients. Please call their office at (352) 315-7800 to inquire about availability.
Is NPI 1902802002 still active?
Yes, NPI 1902802002 is currently active.
Where does LIFESTREAM BEHAVIORAL CENTER INC practice?
LIFESTREAM BEHAVIORAL CENTER INC practices in LEESBURG, FL.