Lifestream Behavioral Center Inc
Lifestream Behavioral Center Inc is a Clinical Child & Adolescent Psychologist in Leesburg, Florida. Licensed in Florida. Registered with an NPI since 2005.
- Licensed in
- FL
- In the registry since
- 2005
- Specialties on file
- 6
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2020 Talley RdLeesburg, FL 34748-3426
Phone: (352) 315-7800
Fax: (352) 315-6595
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric Hospital (primary) | Taxonomy 283Q00000X · Licence 4075 (FL) |
|---|---|
| Clinical Child & Adolescent Psychologist | Taxonomy 103TC2200X |
| Psychiatry Physician | Taxonomy 2084P0800X |
| Case Management Agency | Taxonomy 251B00000X |
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X |
| Psychiatric Residential Treatment Facility | Taxonomy 323P00000X |
Record details
| NPI number | 1902802002 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carol Dozier — Cfo · (352) 315-7532 |
| NPI enumerated | June 23, 2005 |
| Last updated in NPPES | July 18, 2012 |
| Mailing address | Po Box 491000, Leesburg, FL 34749-1000 |