LIFESPAN PSYCHIATRIC SERVICES LLC NPI 1659940377

NPI Information

NPI: 1659940377
Provider Name: LIFESPAN PSYCHIATRIC SERVICES, LLC

Doing Business As: LIFESPAN PSYCHIATRIC & INTERNAL MEDICINE SERVICES

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1618 MAHAN CENTER BLVD STE 103
TALLAHASSEE, FL
ZIP 32308
Phone: (850) 999-2996
Get Directions

LIFESPAN PSYCHIATRIC SERVICES, LLC is a psychiatric/mental health nurse practitioner in Tallahassee, FL. LIFESPAN PSYCHIATRIC SERVICES, LLC NPI is 1659940377. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lifespan Psychiatric & Internal Medicine Services.

The provider's business location address is:

1618 MAHAN CENTER BLVD STE 103
TALLAHASSEE, FL
ZIP 32308-476
Phone: (850) 999-2996
Fax: (850) 536-6439

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

The enumeration date for this NPI number is 6/18/2021 and was last updated on 3/15/2024.

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	Primary
1	101YM0800X	Counselor	Mental Health	No
2	1041C0700X	Social Worker	Clinical	No
3	207R00000X	Internal Medicine		No
4	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	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: 4/28/2024

NPI Synchronization or Removal

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