Lifestream Behavioral Center INC

NPI #1902802002 in Leesburg, Florida

Provider Information

NPI Number: 1902802002
Entity Type: Organization
Organization Name: Lifestream Behavioral Center INC
Primary Specialty: Psychiatric Hospital
Enumeration Date: Jun 23, 2005
Last Updated: Jul 18, 2012

Practice Location

Address: 2020 TALLEY RD
City: Leesburg
State: Florida
ZIP Code: 34748-3426
Phone: (352) 315-7800

Authorized Official

Name: MS. CAROL E DOZIER, CPA
Title: CFO
Phone: (352) 315-7532

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatric Residential Treatment Facility	323P00000X
Case Management	251B00000X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Psychiatric Hospital	283Q00000X	Primary

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