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

Active since March 27, 2013CLIA Certified · 4 labs
215 N 3RD ST, LEESBURG, FL 34748(352) 315-7900(352) 360-6582 Get Directions Write a Review

NPPES record last updated: March 27, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lifestream Behavioral Center Inc NPPES

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

LIFESTREAM BEHAVIORAL CENTER INC (NPI 1659613776) is a healthcare organization registered as a primary care in Leesburg, Florida and active in the NPI registry since March 2013. The organization holds 4 active CLIA laboratory certificates and lists Carol E Dozier, Cpa, as its authorized official.

NPPES Registry Identity

NPI1659613776
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLIFESTREAM BEHAVIORAL CENTER INC
Location Address215 N 3RD STLeesburg, FL 34748-5105
Mailing AddressPo Box 491000Leesburg, FL 34749-1000 · (352) 315-7500 · Fax (352) 360-6582
Phone(352) 315-7900
Fax(352) 360-6582
Organization SubpartYes
Authorized OfficialCarol E DozierCpa · (352) 315-7532
Enumeration DateMarch 27, 2013
✔ NPI 1659613776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
215 N 3RD ST, Leesburg, FL 34748
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Other Identifiers 2

Other98270FL · Medicare Group Number
Medicaid024576301FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

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 10D2076168

Lifestream Behavioral Center Inc · Leesburg, FL
Active · expires Apr 13, 2028
CLIA Number10D2076168
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 14, 2026
Certificate Expiration DateApril 13, 2028
Laboratory DirectorThomas J. Valente
Laboratory Phone(352) 315-7946
Laboratory LocationLifestream Behavioral Center Inc215 N 3rd St, Leesburg, FL 34748
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2201937

Lifestream Behavioral Center Inc · Clermont, FL
Active · expires Nov 23, 2026
CLIA Number10D2201937
Laboratory TypeCrisis Stabilization Unit
Certificate Effective DateNovember 24, 2024
Certificate Expiration DateNovember 23, 2026
Laboratory DirectorThomas J. Valente
Laboratory Phone(352) 315-7500
Laboratory LocationLifestream Behavioral Center Inc2120 N Don Wickham Dr, Clermont, FL 34711
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0878813

Lifestream Behavorial Center · Leesburg, FL
Active · expires Dec 31, 2027
CLIA Number10D0878813
Laboratory TypeHospital
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorLinda Rose Giacomi
Laboratory Phone(352) 315-7500
Laboratory LocationLifestream Behavorial Center2020 Tally Road, Leesburg, FL 34748
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1047592

Lifestream Behavioral Ctr Sa · Leesburg, FL
Active · expires Nov 7, 2027
CLIA Number10D1047592
Laboratory TypeOther
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorLinda R. Giacomi
Laboratory Phone(352) 315-7500
Laboratory LocationLifestream Behavioral Ctr SaSubstance Abuse Complex 2018 Tally Rd, Leesburg, FL 34748
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

LINDA L SILVERMAN PSYD
Counselor
215 N 3RD ST
LEESBURG, FL 34748
Lake County (352) 315-7900
ASHLEE WILLIAMS
Counselor
215 N 3RD ST
LEESBURG, FL 34748
Lake County (352) 315-7900
NATASHA WREN KERRICK PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
215 N 3RD ST
LEESBURG, FL 34748
Lake County (352) 315-7900
DR. EDGAR ALFRED WALKER JR. M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
215 N 3RD ST
LEESBURG, FL 34748
Lake County (352) 315-7500
DR. RICHARD B WALLACE D.O.
Psychiatry & Neurology (Psychiatry)
215 N 3RD ST
LEESBURG, FL 34748
Lake County (352) 315-7900
GENOA HEALTHCARE LLC
Pharmacy (Long Term Care Pharmacy)
215 N 3RD ST
LEESBURG, FL 34748
Lake County (352) 702-0079
JESSICA LEE BEACH LCSW
Social Worker
215 N 3RD ST
LEESBURG, FL 34748
Lake County (352) 315-7900
CINDY EDWARDS LMHC
Counselor (Mental Health)
215 N 3RD ST
LEESBURG, FL 34748
Lake County (352) 315-7900

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 Lifestream Behavioral Center Inc's NPI number?

The NPI number for Lifestream Behavioral Center Inc is 1659613776. It was assigned to this organization in the NPPES registry on March 27, 2013.

Where is Lifestream Behavioral Center Inc located?

Lifestream Behavioral Center Inc is located at 215 N 3rd St, Leesburg, FL 34748. The listed phone number is (352) 315-7900.

What is Lifestream Behavioral Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Lifestream Behavioral Center Inc hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Lifestream Behavioral Center Inc accept?

Health plans from Ambetter Health and Ambetter of Alabama list Lifestream Behavioral Center Inc 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 Lifestream Behavioral Center Inc was last updated on March 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.