LIFESPAN PSYCHIATRIC SERVICES LLC NPI 1659940377

NPI Information

  • NPI: 1659940377
  • Provider Name: LIFESPAN PSYCHIATRIC SERVICES LLC
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • :
  • CLIA Number: 10D2320700
  • Address: 3606 MACLAY BLVD S STE 102
    TALLAHASSEE, FL
    ZIP 32312
  • Phone: (850) 999-2996

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NPI Details

LIFESPAN PSYCHIATRIC SERVICES LLC is a psychiatry psychiatry neurology in Tallahassee, FL. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. LIFESPAN PSYCHIATRIC SERVICES LLC NPI is 1659940377. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

3606 MACLAY BLVD S STE 102
TALLAHASSEE, FL
ZIP 32312-277
Phone: (850) 999-2996
Fax: (850) 536-6439

The provider's authorized official is Julianne Folsom .
The authorized official title is Owner and has the following contact phone number (850) 566-9190.

The CLIA number assigned to this NPI record is 10D2320700 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2021 and was last updated on 7/28/2025.

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
1101YM0800XCounselorMental HealthNo
21041C0700XSocial WorkerClinicalNo
3207R00000XInternal MedicineNo
42084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
52084P0800XPsychiatry & NeurologyPsychiatryYes

What is NPI?

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

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