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BRONX LEBANON HOSPITAL LIFE RECOVERY CENTER
NPI 1578955951
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bronx, NY

Active since February 23, 2015
1285 FULTON AVE, BRONX, NY 10456(718) 518-3711 Get Directions Write a Review

NPPES record last updated: February 23, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bronx Lebanon Hospital Life Recovery Center NPPES

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

BRONX LEBANON HOSPITAL LIFE RECOVERY CENTER (NPI 1578955951) is a healthcare organization registered as a mental health (including community mental health center) in Bronx, New York and active in the NPI registry since February 2015. The organization lists Demetria Nelson, Program Administrator, as its authorized official.

NPPES Registry Identity

NPI1578955951
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBRONX LEBANON HOSPITAL LIFE RECOVERY CENTER
Location Address1285 FULTON AVEBronx, NY 10456-3401
Mailing Address28 Dixon StTarrytown, NY 10591-3304 · (914) 414-2829
Phone(718) 518-3711
Organization SubpartNo
Authorized OfficialDemetria NelsonProgram Administrator · (718) 518-3736
Enumeration DateFebruary 23, 2015
✔ NPI 1578955951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in NY · 0738591
1285 FULTON AVE, Bronx, NY 10456
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Other Providers at the Same Location NPPES 11

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

LEIGH-ANN BORRIELLO
Social Worker (Clinical)
1285 FULTON AVE
BRONX, NY 10456
Bronx County (718) 992-7669
DR. JACOMINA PAULINA GERBRANDIJ PHD
Psychologist
1285 FULTON AVE
BRONX, NY 10456
Bronx County (718) 992-7669
JOSE L. MEDINA CASAC
Counselor (Addiction (Substance Use Disorder))
1285 FULTON AVE
BRONX, NY 10456
Bronx County (718) 518-3700
JESSICA NICOLE NANCE LMSW
Social Worker
1285 FULTON AVE
BRONX, NY 10456
Bronx County (718) 518-3738
MISS ALICIA MICHELLE WIGGINS M.D.
Family Medicine
1285 FULTON AVE
BRONX, NY 10456
Bronx County (716) 857-0553
GINA KIJEK LCAT
Music Therapist
1285 FULTON AVE
BRONX, NY 10456
Bronx County (718) 518-3792
BRANDON HILL
Social Worker
1285 FULTON AVE
BRONX, NY 10456
Bronx County (718) 992-7669
MR. MARIANO DELPILAR LMSW
Social Worker (Clinical)
1285 FULTON AVE, LIFE RECOVERY CENTER BRONX LEBANON CENTER
BRONX, NY 10456
Bronx County (718) 518-3755

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 Bronx Lebanon Hospital Life Recovery Center's NPI number?

The NPI number for Bronx Lebanon Hospital Life Recovery Center is 1578955951. It was assigned to this organization in the NPPES registry on February 23, 2015.

Where is Bronx Lebanon Hospital Life Recovery Center located?

Bronx Lebanon Hospital Life Recovery Center is located at 1285 Fulton Ave, Bronx, NY 10456. The listed phone number is (718) 518-3711.

What is Bronx Lebanon Hospital Life Recovery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Bronx Lebanon Hospital Life Recovery Center was last updated on February 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.