Lifespan Collaborative Services LLC
Nurse Practitioner, Psych/Mental Health in Oxford, Connecticut
1013395466- Practice location
- 71 Oxford RD, Oxford, CT 06478-1900
- Phone
- 203-463-4558
- Fax
- —
- Last updated
- May 18, 2015
Lifespan Collaborative Services LLC is a healthcare organization based in Oxford, CT. Lifespan Collaborative Services LLC practices in Oxford, CT. The NPI Number for Lifespan Collaborative Services LLC is 1013395466 and holds a License No. 003973 (CT). The current practice location address for Lifespan Collaborative Services LLC is 71 Oxford RD, Oxford, CT 06478-1900 and can be reached out via phone at 203-463-4558.
Provider Profile Details
- NPI Number
- 1013395466
- Provider Name
- Lifespan Collaborative Services LLC
- Provider Entity Type
- Organization
- Address
- 71 Oxford RD, Oxford, CT 06478-1900
- Phone Number
- 203-463-4558
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Dilice Robertson, DNP-APRN · Member · 203-887-1278
- Provider Enumeration Date
- May 18, 2015
- Last Update Date
- May 18, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 71 Oxford RD
Oxford, CT 06478-1900 - City
- Oxford
- State
- Connecticut
- Zip
- 06478-1900
- Phone Number
- 203-463-4558
Provider Business Mailing Address Details
- Address
- 2390 State St
Unit 2E
Hamden, CT 06517-3716 - City
- Hamden
- State
- CT
- Zip
- 06517-3716
- Phone Number
- 203-887-1278
License Information
- License Number
- 003973
- License State
- CT
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lifespan Collaborative Services LLC?
The NPI number of Lifespan Collaborative Services LLC is 1013395466. It was assigned on May 18, 2015 and is currently active in the NPPES registry.
What is the specialty of Lifespan Collaborative Services LLC?
Lifespan Collaborative Services LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 003973.
Where does Lifespan Collaborative Services LLC practice?
The practice location is 71 Oxford RD, Oxford, CT 06478-1900. The office can be reached at 203-463-4558 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013395466 directly on the NPPES registry website.