LIFESTREAM BEHAVIORAL CENTER INC
NPI 1659613776
Clinic/Center - Primary Care in Leesburg, FL

NPI Status: Active since March 27, 2013

Contact Information

215 N 3RD ST
LEESBURG, FL
ZIP 34748
Phone: (352) 315-7900
Fax: (352) 360-6582

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  • Organization
  • Clinic/Center
  • Primary Care
  • Accepts Insurance

About LIFESTREAM BEHAVIORAL CENTER INC

This page provides the complete NPI Profile along with additional information for Lifestream Behavioral Center Inc, a primary care provider established in Leesburg, Florida operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1659613776 assigned on March 2013. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Ms. Carol E Dozier Cfo (Cpa)

NPI
1659613776
Provider Name
LIFESTREAM BEHAVIORAL CENTER INC
Entity Type
Organization
Location Address
215 N 3RD ST LEESBURG, FL 34748
Location Phone
(352) 315-7900
Location Fax
(352) 360-6582
Mailing Address
PO BOX 491000 LEESBURG, FL 34749
Mailing Phone
(352) 315-7500
Mailing Fax
(352) 360-6582
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-27-2013
Last Update Date
03-27-2013
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A primary care provider (PCP) like Lifestream Behavioral Center Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. CAROL E DOZIER CFO

Authorized Official Title
CPA
Authorized Official Phone
(352) 315-7532

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
98270OTHER (01)FLMEDICARE GROUP NUMBER
024576301MEDICAID (05)FL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1659613776
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261091216714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 1 + 2 + 1 + 6 + 7 + 1 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1659613776 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

DR. EDGAR ALFRED WALKER JR. M.D.

Psychiatry & Neurology

(Child & Adolescent Psychiatry)

215 N 3RD ST
LEESBURG, FL
ZIP 34748

(352) 315-7500

LINDA L SILVERMAN PSYD

Counselor

215 N 3RD ST
LEESBURG, FL
ZIP 34748

(352) 315-7900

CINDY EDWARDS LMHC

Counselor

(Mental Health)

215 N 3RD ST
LEESBURG, FL
ZIP 34748

(352) 315-7900

MR. MIGUEL ANGEL CORREA MD

Family Medicine

(Addiction Medicine)

215 N 3RD ST
LEESBURG, FL
ZIP 34748

(787) 594-8079

JESSICA LEE BEACH LCSW

Social Worker

215 N 3RD ST
LEESBURG, FL
ZIP 34748

(352) 315-7900

MR. KEVIN BOWERS

Case Manager/Care Coordinator

215 N 3RD ST
LEESBURG, FL
ZIP 34748

(352) 315-7424

BESSIE RAWLS BA

Case Manager/Care Coordinator

215 N 3RD ST
LEESBURG, FL
ZIP 34748

(352) 315-7422

DR. RICHARD B WALLACE D.O.

Psychiatry & Neurology

(Psychiatry)

215 N 3RD ST
LEESBURG, FL
ZIP 34748

(352) 315-7900

CATHERINE HEFLIN

Case Manager/Care Coordinator

215 N 3RD ST
LEESBURG, FL
ZIP 34748

(352) 315-7900

TIMOTHY ALLEN

Pharmacist

215 N 3RD ST
LEESBURG, FL
ZIP 34748

(352) 702-0079

ASHLEE WILLIAMS

Counselor

215 N 3RD ST
LEESBURG, FL
ZIP 34748

(352) 315-7900

ANN MARIE ALICIA BURKE APRN

Nurse Practitioner

(Psychiatric/Mental Health)

215 N 3RD ST
LEESBURG, FL
ZIP 34748

(352) 315-7900

GENOA HEALTHCARE LLC

Pharmacy

(Long Term Care Pharmacy)

215 N 3RD ST
LEESBURG, FL
ZIP 34748

(352) 702-0079

CHRYSTAL SHIRLEY APRN

Nurse Practitioner

215 N 3RD ST
LEESBURG, FL
ZIP 34748

(352) 315-7900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659613776, enumerated in the NPI registry as an "organization" on March 27, 2013

The provider is located at 215 N 3rd St Leesburg, Fl 34748 and the phone number is (352) 315-7900

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

The provider might be accepting Accepts: Ambetter Health, Ambetter of Alabama, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 27, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.