LIFESPAN BEHAVIORAL HEALTH SERVICES PC NPI 1114673308

NPI Information

  • NPI: 1114673308
  • Provider Name: LIFESPAN BEHAVIORAL HEALTH SERVICES PC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Former Legal Business Name: LIFESPAN BEHAVIORAL HEALTH SERVICES PC
  • Address: 3460 OLNEY LAYTONSVILLE RD STE 212
    OLNEY, MD
    ZIP 20832
  • Phone: (301) 982-3437

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NPI Details

LIFESPAN BEHAVIORAL HEALTH SERVICES PC is a mental health (including community mental health center) clinic center in Olney, MD. LIFESPAN BEHAVIORAL HEALTH SERVICES PC NPI is 1114673308. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Lifespan Behavioral Health Services Pc.

The provider's business location address is:

3460 OLNEY LAYTONSVILLE RD STE 212
OLNEY, MD
ZIP 20832-701
Phone: (301) 982-3437
Fax: (301) 982-9452

The provider's authorized official is Joshua Sussal .
The authorized official title is Md/ Ceo and has the following contact phone number (301) 982-3437.

The enumeration date for this NPI number is 2/25/2022 and was last updated on 10/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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