Lifetime Changes Behavior Services LLC
Early Intervention Provider Agency in Staten Island, New York
1578182770- Practice location
- 683 Henderson Ave Ste A, Staten Island, NY 10310-1575
- Phone
- 929-256-0231
- Fax
- 718-732-2628
- Last updated
- May 25, 2021
Lifetime Changes Behavior Services LLC is a healthcare organization based in Staten Island, NY. Lifetime Changes Behavior Services LLC practices in Staten Island, NY. The NPI Number for Lifetime Changes Behavior Services LLC is 1578182770. The current practice location address for Lifetime Changes Behavior Services LLC is 683 Henderson Ave Ste A, Staten Island, NY 10310-1575 and can be reached out via phone at 929-256-0231 and via fax at 718-732-2628.
Provider Profile Details
- NPI Number
- 1578182770
- Provider Name
- Lifetime Changes Behavior Services LLC
- Provider Entity Type
- Organization
- Address
- 683 Henderson Ave Ste A, Staten Island, NY 10310-1575
- Phone Number
- 929-256-0231
- Fax Number
- 718-732-2628
- Primary Taxonomy
- Early Intervention Provider Agency · 252Y00000X
- Organization Subpart
- No
- Authorized Official
- Ms. Dana Van Dyke, MED · Owner/Program Director · 929-256-0231
- Provider Enumeration Date
- April 9, 2020
- Last Update Date
- May 25, 2021
- Certification Date
- May 25, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 683 Henderson Ave Ste A
Staten Island, NY 10310-1575 - City
- Staten Island
- State
- New York
- Zip
- 10310-1575
- Phone Number
- 929-256-0231
- Fax Number
- 718-732-2628
Provider Business Mailing Address Details
- Address
- 683 Henderson Ave Ste A
Staten Island, NY 10310-1575 - City
- Staten Island
- State
- NY
- Zip
- 10310-1575
- Phone Number
- 929-256-0231
License Information
- Taxonomy (1)
- Case Management · 251B00000X
- Taxonomy (2)
- Day Training, Developmentally Disabled Services · 251C00000X
- Taxonomy (3)
- Community/Behavioral Health · 251S00000X
- Taxonomy (4)
- Clinic/Center, Community Health · 261QC1500X
- Taxonomy (5)
- Clinic/Center, Developmental Disabilities · 261QD1600X
- Taxonomy (6)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Taxonomy (7)
- Clinic/Center, Adult Mental Health · 261QM0850X
- Taxonomy (8)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Taxonomy (9)
- Early Intervention Provider Agency · 252Y00000X · 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 Lifetime Changes Behavior Services LLC?
The NPI number of Lifetime Changes Behavior Services LLC is 1578182770. It was assigned on April 9, 2020 and is currently active in the NPPES registry.
What is the specialty of Lifetime Changes Behavior Services LLC?
Lifetime Changes Behavior Services LLC is registered under the primary taxonomy Early Intervention Provider Agency (code 252Y00000X).
Where does Lifetime Changes Behavior Services LLC practice?
The practice location is 683 Henderson Ave Ste A, Staten Island, NY 10310-1575. The office can be reached at 929-256-0231 (phone) or 718-732-2628 (fax).
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 1578182770 directly on the NPPES registry website.