LIFE SOLUTIONS OUTPATIENT CORP


Address: 1347 E Tennessee St, Tallahassee, FL 32308-5107
Phone: 8505835388

LIFE SOLUTIONS OUTPATIENT CORP (NPI# 1184005803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184005803
Entity Type Organization
Organization Name LIFE SOLUTIONS OUTPATIENT CORP
Practice Address 1347 E Tennessee St
Tallahassee
FL 32308-5107
Practice Telephone 8505835388
Practice Fax Number 8505835388
Mailing Telephone 8505835388
Mailing Fax Number 8505835388
Enumeration Date 2015-06-18
Last Update Date 2015-06-18
Authorized Official Name DR. TAYLOR E GAINES (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 8554543376
Authorized Official Credential PHARM.D.,C.A.P.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
0237AD383201 FL Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1265891543 Life Solutions Outpatient Corp Clinic/Center 3111 Mahan Dr, Suite 20 #113, Tallahassee, FL 32308-5548 2016-02-16

Office Location

Street Address 1347 E TENNESSEE ST
City TALLAHASSEE
State FL
Zip Code 32308-5107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497136717 S K Kotei Consultants LLC Substance Abuse Rehabilitation Facility 1347 E Tennessee St, Tallahassee, FL 32308-5107 2015-06-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1548735798 North Florida Rehab Solutions Hospitalist 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 2018-10-03
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1669979480 Beth North, Lcsw, LLC Social Worker 1325 Mahan Drive, Tallahassee, FL 32308 2018-04-09
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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1700443520 American Detox and Wellness Center Clinic/Center 12150 Cortez Blvd, Brooksville, FL 34613-5575 2019-05-28
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Competitor

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City TALLAHASSEE
Zip Code 32308

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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