LIFESKILLS SOUTH FLORIDA OUTPATIENT LLC NPI 1700666765

NPI Information

NPI: 1700666765
Provider Name: LIFESKILLS SOUTH FLORIDA OUTPATIENT LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 10D2300120

Address:
4350 W CYPRESS ST STE 625
TAMPA, FL
ZIP 33607
Phone: (954) 834-5099
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LIFESKILLS SOUTH FLORIDA OUTPATIENT LLC is an adult mental health clinic center in Tampa, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. LIFESKILLS SOUTH FLORIDA OUTPATIENT LLC NPI is 1700666765. The provider is registered as an organization entity type.

The provider's business location address is:

4350 W CYPRESS ST STE 625
TAMPA, FL
ZIP 33607-164
Phone: (954) 834-5099

The provider's authorized official is Scott Sarnacke .
The authorized official title is Cfo and has the following contact phone number (615) 864-8154.

The CLIA number assigned to this NPI record is 10D2300120 - other - out patient with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2023 and was last updated on 10/5/2023.

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
1	261QM0850X	Clinic/Center	Adult 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: 5/5/2024

NPI Synchronization or Removal

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