Lifestream Behavioral Center Inc is a Clinical Child & Adolescent - Psychology Clinic in Leesburg, Florida. It is located at 2020 Talley Rd, Leesburg, FL and its contact number is 352-315-7800. The authorized person for Lifestream Behavioral Center Inc is Ms. Carol E Dozier
who is Cfo of the clinic and his/her contact number is 352-315-7532. The primary license number for Lifestream Behavioral Center Inc is 4075 (Psychiatric Hospital) in Florida. Lifestream Behavioral Center Inc Clinic analyse the cognitive, social and emotional development of children. Typically, psychologists look at development from the prenatal period through adolescence. Some of the traditional areas of interest include genetics, language development, learning disabilities, personality, gender roles, cognitive development, sexual development and social growth. Clinical Child Psychologist responsibilities includes task like assessing and treating learning or developmental disabilities or delays; Working with children and their caregivers to manage behavioral issues; Administering psychological tests; Conducting scientific research on childhood development; Working with a health care team to create a unique treatment plan for a client.
Complete Clinic Profile:
Lifestream Behavioral Center Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Lifestream Behavioral Center Inc
Specialization:
Clinical Child & Adolescent Psychology
Clinic Address:
2020 Talley Rd, Leesburg, Florida, 34748-3426
Phone:
352-315-7800
Fax:
352-315-6595
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Ms. Carol E Dozier
Position:
Cfo
Contact Number:
352-315-7532
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details for Lifestream Behavioral Center Inc clinic are as mentioned below.
NPI Number:
1902802002
NPI Enumeration Date:
23 Jun, 2005
NPI Last Update On:
18 Jul, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lifestream Behavioral Center Inc are as mentioned below.
Specialization
License Number
State
Status
Psychiatric Hospital
4075
Florida
Primary
Clinical Child & Adolescent
Secondary
Psychiatry
Secondary
Case Management
Secondary
Mental Health (Including Community Mental Health Center)
Secondary
Psychiatric Residential Treatment Facility
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
060334100
Medicaid
Florida
151443
Other
Florida
Wellcare Provider #
060334108
Medicaid
Florida
060334102
Medicaid
Florida
98270
Other
Florida
Bcbs Outpatient Number
E-83
Other
Florida
Bcbs Inpatient Number
024576301
Medicaid
Florida
060334105
Medicaid
Florida
360181100
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Lifestream Behavioral Center Inc Po Box 491000, Leesburg, Florida
Zip:
34749-1000
Phone Number:
352-315-7500
Fax Number:
352-360-6595
Patients can reach Lifestream Behavioral Center Inc at 2020 Talley Rd, Leesburg, Florida or can call to book an appointment on 352-315-7800. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.