OPERATION LIFESTYLE REDESIGN GROUP LLC NPI 1972273282

NPI Information

  • NPI: 1972273282
  • Provider Name: OPERATION LIFESTYLE REDESIGN GROUP LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 83 WOOSTER HEIGHTS
    SUITE #125
    DANBURY, CT
    ZIP 06810
  • Phone: (203) 957-3938

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NPI Details

OPERATION LIFESTYLE REDESIGN GROUP LLC is a mental health (including community mental health center) clinic center in Danbury, CT. OPERATION LIFESTYLE REDESIGN GROUP LLC NPI is 1972273282. The provider is registered as an organization entity type.

The provider's business location address is:

83 WOOSTER HEIGHTS
SUITE #125
DANBURY, CT
ZIP 06810
Phone: (203) 957-3938
Fax: (866) 266-4842

The provider's authorized official is Brandon Davar Pervis .
The authorized official title is Vice President Of Clinical Operatio and has the following contact phone number (203) 957-3938.

The enumeration date for this NPI number is 9/17/2021 and was last updated on 9/17/2021.

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
1261QM1300XClinic/CenterMulti-SpecialtyNo
2261QP2300XClinic/CenterPrimary CareNo
3261QM0801XClinic/CenterMental 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: 3/30/2025

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