LIVES SAVERS BEHAVIORAL HEALTH LLC NPI 1891556015

NPI Information

NPI: 1891556015
Provider Name: LIVES SAVERS BEHAVIORAL HEALTH LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 21D2286601

Address:
311 S RALEIGH ST
MARTINSBURG, WV
ZIP 25401
Phone: (240) 415-0064
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LIVES SAVERS BEHAVIORAL HEALTH LLC is a mental health (including community mental health center) clinic center in Martinsburg, WV. LIVES SAVERS BEHAVIORAL HEALTH LLC NPI is 1891556015. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

311 S RALEIGH ST
MARTINSBURG, WV
ZIP 25401-638
Phone: (240) 415-0064

The provider's authorized official is Oluwakemi Olubunmi Osidele .
The authorized official title is President and has the following contact phone number (240) 575-9940.

The CLIA number assigned to this NPI record is 21D2286601 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2024 and was last updated on 1/16/2024.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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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