LIFESTREAM BEHAVIORAL CENTER INC
NPI 1902802002
Psychiatric Hospital in Leesburg, FL

Q: What is Lifestream Behavioral Center Inc's NPI number?

The NPI number for Lifestream Behavioral Center Inc is 1902802002. It was assigned to this organization in the NPPES registry on June 23, 2005.

Q: What is Lifestream Behavioral Center Inc's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Active since June 23, 2005

2020 TALLEY RD, LEESBURG, FL 34748(352) 315-7800(352) 315-6595 Get Directions Write a Review

NPPES record last updated: July 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lifestream Behavioral Center Inc NPPES

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

LIFESTREAM BEHAVIORAL CENTER INC (NPI 1902802002) is a healthcare organization registered as a psychiatric hospital in Leesburg, Florida and active in the NPI registry since June 2005. The organization lists Carol E Dozier, Cfo, as its authorized official.

NPPES Registry Identity

NPI1902802002

Entity TypeOrganization

Primary Taxonomy283Q00000X

Legal Business NameLIFESTREAM BEHAVIORAL CENTER INC

Location Address2020 TALLEY RDLeesburg, FL 34748-3426

Mailing AddressPo Box 491000Leesburg, FL 34749-1000 · (352) 315-7500 · Fax (352) 360-6595

Phone(352) 315-7800

Fax(352) 315-6595

Organization SubpartNo

Authorized OfficialCarol E DozierCfo · (352) 315-7532

Enumeration DateJune 23, 2005

Last NPPES UpdateJuly 18, 2012

✔ NPI 1902802002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPsychiatric HospitalHospitals

Taxonomy Code283Q00000X

License✔ Licensed in FL · 4075

Definition

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X

2020 TALLEY RD, Leesburg, FL 34748

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Other Identifiers 11

OtherE-83FL · Bcbs Inpatient Number

Medicare ID-Type Unspecified98270FL · Part B Number

Medicaid060334100FL

Medicaid060334108FL

Other151443FL · Wellcare Provider #

Medicaid060334105FL

Medicaid024576301FL

Medicaid360181100FL

Other98270FL · Bcbs Outpatient Number

Medicaid060334102FL

Medicare OSCAR/certification10-4018FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Lifestream Behavioral Center (CMS certification number 104018), from CMS Care Compare.

Lifestream Behavioral Center

Psychiatric · Leesburg, FL

OwnershipProprietary

CMS Certification Number104018

Location2020 Tally RdLeesburg, FL 34748 · Lake County · (352) 315-7800

Other Providers at the Same Location NPPES 20

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

ALYSON ANNE RUDOLPH LMHC

Psychologist (Clinical)