Lifestream Behavioral Center Inc is a Psychiatric Residential Treatment Facility based in Leesburg, FL. Lifestream Behavioral Center Inc practices in Leesburg, FL. The NPI Number for Lifestream Behavioral Center Inc is 1902802002 and holds a License No. (Florida).
The current practice location address for Lifestream Behavioral Center Inc is 2020 Talley Rd, Leesburg, FL and can be reached out via phone at 352-315-7800 and via fax at 352-315-6595. You can also correspond with Lifestream Behavioral Center Inc through the mailing address at PO BOX 491000, LEESBURG, FL - 34749-1000 (mailing address contact number: 352-315-7500).
Location: 2020 Talley Rd, Leesburg, FL, 34749-1000
Provider Profile Details
NPI Number
1902802002
Provider Name
Lifestream Behavioral Center Inc
Credential
Provider Entity Type
Organization
Address
2020 Talley Rd, Leesburg, FL, 34749-1000
Phone Number
352-315-7800
Fax Number
352-315-6595
Provider Enumeration Date
06/23/2005
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060334100 | 05 | FL | |
| 151443 | 01 | FL | WELLCARE PROVIDER # |
| 060334108 | 05 | FL | |
| 060334102 | 05 | FL | |
| 98270 | 01 | FL | BCBS OUTPATIENT NUMBER |
| E-83 | 01 | FL | BCBS INPATIENT NUMBER |
| 024576301 | 05 | FL | |
| 060334105 | 05 | FL | |
| 360181100 | 05 | FL |
Provider Business Practice Location Address Details
Address
2020 Talley Rd
City
State
Zip
34748-3426
Phone Number
352-315-7800
Fax Number
352-315-6595
Provider Business Mailing Address Details
Address
Po Box 491000
City
State
Zip
34749-1000
Phone Number
352-315-7500
Fax Number
352-360-6595
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical Child & Adolescent
Taxonomy
License No.
()
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
License No.
4075 (Florida)
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Provider's Taxonomy Details 3
Type
Agencies
Classification
Case Management
Speciality
-
Taxonomy
License No.
()
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 5
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
License No.
()
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Provider's Taxonomy Details 6
Type
Residential Treatment Facilities
Classification
Psychiatric Residential Treatment Facility
Speciality
-
Taxonomy
License No.
()
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
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