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LIFESKILLS SOUTH FLORIDA OUTPATIENT LLC
NPI 1073385175
Clinic/Center - Adult Mental Health in Jacksonville, FL

Active since October 23, 2023
10199 SOUTHSIDE BLVD STE 204, JACKSONVILLE, FL 32256(904) 917-2285 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 6, 2026, May 14, 2024, Oct 23, 2023 (3 updates tracked since 2023).

About Lifeskills South Florida Outpatient Llc NPPES

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

LIFESKILLS SOUTH FLORIDA OUTPATIENT LLC (NPI 1073385175), doing business as Pasadena Villa Outpatient- Jacksonville, is a healthcare organization registered as an adult mental health in Jacksonville, Florida and active in the NPI registry since October 2023. The organization lists Benjamin Brady, Cfo, as its authorized official.

NPPES Registry Identity

NPI1073385175
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameLIFESKILLS SOUTH FLORIDA OUTPATIENT LLC
Location Address10199 SOUTHSIDE BLVD STE 204Jacksonville, FL 32256-6716
Mailing Address720 Cool Springs Blvd Ste 550Franklin, TN 37067-2645
Phone(904) 917-2285
Organization SubpartNo
Authorized OfficialBenjamin BradyCfo · (615) 864-8145
Enumeration DateOctober 23, 2023
Last NPPES UpdateApril 6, 20263 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1073385175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
10199 SOUTHSIDE BLVD STE 204, Jacksonville, FL 32256
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Other Names 1

Doing Business AsPasadena Villa Outpatient- Jacksonville

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifeskills South Florida Outpatient LLC's NPI number?

The NPI number for Lifeskills South Florida Outpatient LLC is 1073385175. It was assigned to this organization in the NPPES registry on October 23, 2023. The provider is doing business as Pasadena Villa Outpatient- Jacksonville.

Where is Lifeskills South Florida Outpatient LLC located?

Lifeskills South Florida Outpatient LLC is located at 10199 Southside Blvd Ste 204, Jacksonville, FL 32256. The listed phone number is (904) 917-2285.

What is Lifeskills South Florida Outpatient LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

What insurance does Lifeskills South Florida Outpatient LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lifeskills South Florida Outpatient LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lifeskills South Florida Outpatient LLC was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.