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INSTITUTE FOR LIFE RENOVATION, LLC
NPI 1386172351
Psychologist - Cognitive & Behavioral in Fort Lauderdale, FL

Active since June 02, 2017
1421 SE 4TH AVE, FORT LAUDERDALE, FL 33316(954) 766-4955(954) 616-5147 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2023, Jul 21, 2022, Jun 2, 2017 (3 updates tracked since 2017).

About Institute For Life Renovation, Llc NPPES

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

INSTITUTE FOR LIFE RENOVATION, LLC (NPI 1386172351) is a healthcare organization registered as a cognitive & behavioral in Fort Lauderdale, Florida and active in the NPI registry since June 2017. The organization lists Lori Eickleberry, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1386172351
Entity TypeOrganization
Primary Taxonomy103TB0200X
Legal Business NameINSTITUTE FOR LIFE RENOVATION, LLC
Location Address1421 SE 4TH AVEFort Lauderdale, FL 33316-1940
Mailing Address1421 Se 4th Ave Fl 2Fort Lauderdale, FL 33316-1900 · (954) 766-4955 · Fax (954) 616-5147
Phone(954) 766-4955
Fax(954) 616-5147
Organization SubpartNo
Authorized OfficialLori EickleberryManaging Partner · (954) 766-4955
Enumeration DateJune 2, 2017
Last NPPES UpdateNovember 6, 20233 updates tracked since enumeration
NPPES CertifiedNovember 6, 2023
✔ NPI 1386172351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
1421 SE 4TH AVE, Fort Lauderdale, FL 33316
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

KRYSTINA NEVIN PSYD
Psychologist
1421 SE 4TH AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 616-5088
DR. CAROLINE TERESA TISOT PH.D.
Psychologist
1421 SE 4TH AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 766-4955
DR. MICHAEL S. PARISH PSY.D.
Psychologist
1421 SE 4TH AVE, SUITE D
FORT LAUDERDALE, FL 33316
Broward County (954) 524-5244
OUR SOLUTIONS LLC
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
1421 SE 4TH AVE, SUITE D
FORT LAUDERDALE, FL 33316
Broward County (954) 489-3031
OUR SOLUTION, LLC
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
1421 SE 4TH AVE, SUITE C
FORT LAUDERDALE, FL 33316
Broward County (954) 489-3031

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 Institute For Life Renovation, LLC's NPI number?

The NPI number for Institute For Life Renovation, LLC is 1386172351. It was assigned to this organization in the NPPES registry on June 2, 2017.

Where is Institute For Life Renovation, LLC located?

Institute For Life Renovation, LLC is located at 1421 SE 4th Ave, Fort Lauderdale, FL 33316. The listed phone number is (954) 766-4955.

What is Institute For Life Renovation, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

When was this NPI record last updated?

The NPPES record for Institute For Life Renovation, LLC was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.