LIFESKILLS CHILDREN
NPI 1063601425
Community/Behavioral Health in Bowling Green, KY

Q: What is Lifeskills's NPI number?

The NPI number for Lifeskills is 1063601425. It was assigned to this organization in the NPPES registry on October 22, 2007. The provider is doing business as Lifeskills Children.

Q: What is Lifeskills's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Lifeskills was last updated on December 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 22, 2007CLIA 18D2061313 · Waiver

380 SUWANNEE TRAIL ST, BOWLING GREEN, KY 42103(270) 901-5000(270) 842-5268 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Lifeskills Children NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFESKILLS CHILDREN (NPI 1063601425) is a healthcare organization registered as a community/behavioral health in Bowling Green, Kentucky and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through June 24, 2027 and lists Joe Dan Beavers, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063601425

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameLIFESKILLS

Location Address380 SUWANNEE TRAIL STBowling Green, KY 42103-7956

Mailing Address380 Suwannee Trail StBowling Green, KY 42103-7956 · (270) 901-5000 · Fax (270) 842-5268

Phone(270) 901-5000

Fax(270) 842-5268

Organization SubpartNo

Authorized OfficialJoe Dan BeaversCeo · (270) 901-5000

Enumeration DateOctober 22, 2007

Last NPPES UpdateDecember 12, 2019

✔ NPI 1063601425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in KY · 800004

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

380 SUWANNEE TRAIL ST, Bowling Green, KY 42103

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Other Names 1

Doing Business AsLifeskills Children

Other Identifiers 1

Medicaid28004018KY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2061313

Lifeskills, Inc · Bowling Green, KY

Active · expires Jun 24, 2027

CLIA Number18D2061313

Laboratory TypeCounseling Center

Certificate Effective DateJune 25, 2025

Certificate Expiration DateJune 24, 2027

Laboratory DirectorKaren T. Garrity

Laboratory Phone(270) 901-5000

Laboratory LocationLifeskills, Inc380 Suwannee Trail, Bowling Green, KY 42102

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VALORIE DUNCAN

Registered Nurse