LIFEWORKS PSYCHIATRIC CENTER LLC NPI 1497510028

NPI Information

  • NPI: 1497510028
  • Provider Name: LIFEWORKS PSYCHIATRIC CENTER, LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Doing Business As: LIFEWORKS
  • CLIA Number: 01D2295101
  • Address: 35 WILLOW LN
    JASPER, AL
    ZIP 35503
  • Phone: (205) 717-6050

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NPI Details

LIFEWORKS PSYCHIATRIC CENTER, LLC is a psychiatric/mental health nurse practitioner in Jasper, AL. LIFEWORKS PSYCHIATRIC CENTER, LLC NPI is 1497510028. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lifeworks.

The provider's business location address is:

35 WILLOW LN
JASPER, AL
ZIP 35503-122
Phone: (205) 717-6050
Fax: (205) 892-9272

The provider's authorized official is Miranda Shae Cody .
The authorized official title is Pmhnp-bc and has the following contact phone number (205) 717-6050.

The CLIA number assigned to this NPI record is 01D2295101 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2024 and was last updated on 11/26/2024.

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
12084A0401XPsychiatry & NeurologyAddiction MedicineNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
32084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
42084P0805XPsychiatry & NeurologyGeriatric PsychiatryNo
5261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
6363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 3/30/2025

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