DIVERSIFIED LIFESTYLE SERVICES NPI 1215357686

NPI Information

NPI: 1215357686
Provider Name: DIVERSIFIED LIFESTYLE SERVICES

Doing Business As: DIVERSIFIED LIFESTYLE SERVICES

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1629 K ST NW
SUITE 300
WASHINGTON, DC
ZIP 20006
Phone: (202) 239-5563
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DIVERSIFIED LIFESTYLE SERVICES is a mental health counselor in Washington, DC. DIVERSIFIED LIFESTYLE SERVICES NPI is 1215357686. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Diversified Lifestyle Services.

The provider's business location address is:

1629 K ST NW
SUITE 300
WASHINGTON, DC
ZIP 20006-602
Phone: (202) 239-5563

The provider's authorized official is Antoinette Lancaster .
The authorized official title is Executive Director and has the following contact phone number (202) 239-5563.

The enumeration date for this NPI number is 4/23/2014 and was last updated on 12/10/2018.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CACII1131	DISTRICT OF COLUMBIA	No
2	101YM0800X	Counselor	Mental Health	PRC14152	DISTRICT OF COLUMBIA	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: 11/14/2023

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