LIFE SKILLS AWARENESS (NPI# 1407365430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407365430 |
| Entity Type | Organization |
| Organization Name | LIFE SKILLS AWARENESS |
| Practice Address |
15353 Bonanza Rd Ste 2 Victorville CA 92392-2465 |
| Practice Telephone | 7605524440 |
| Practice Fax Number | 7606572408 |
| Mailing Telephone | 7605524440 |
| Mailing Fax Number | 7606572408 |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2017-09-21 |
| Authorized Official Name | MS. TERRI R THOMAS (PRESIDENT/LPCC) |
| Authorized Official Telephone | 7609491200 |
| Authorized Official Credential | LPCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447679329 | Life Skills Awareness | Community/Behavioral Health | 16501 Walnut St Ste 12, Hesperia, CA 92345-3684 | 2014-04-08 |
| Street Address |
15353 BONANZA RD STE 2 |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92392-2465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215568688 | Kristin Parris | Behavior Technician | 15490 Civic Drive, Victorville, CA 92392 | 2020-02-03 |
| 1366001604 | Pine Ridge Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 15367 Bonanza Rd, Ste A, Victorville, CA 92392 | 2019-06-11 |
| 1851871289 | Betty A. Murphy, Lmft, Inc | Marriage & Family Therapist | 15437 Anacapa Rd. Ste 26, Victorville, CA 92392 | 2018-08-15 |
| 1104313402 | Jorge L Soler Iglesias | Nurse Practitioner | 12459 Cricket St., Victorville, CA 92392 | 2018-04-23 |
| 1689192049 | Jamesina Johns | Nurse Practitioner | 12127 Mall Blvd #148, Victorville, CA 92392 | 2017-09-06 |
| 1285151886 | Jasmin Sanchez | Behavioral Analyst | 13201 Eclipse Ave, Victorville, CA 92392 | 2017-08-24 |
| 1174049829 | Virginia Marshall | Behavioral Analyst | 13901 Amargosa Rd., Victorville, CA 92392 | 2017-08-15 |
| 1346781465 | San Bernardino Conty | Counselor | 15480 Ramona Ave., Victoville, CA 92392 | 2017-03-09 |
| 1841741279 | Lorinda Morreale | Marriage & Family Therapist | 15428 Civic Dr. Ste 200, Act Family Counseling, Victorville, CA 92392 | 2016-10-20 |
| 1235582404 | Greater Hope Foundation | Community/Behavioral Health | 14344 Cajon Avenue, Suite 101, 103, Victorville, CA 92392 | 2016-07-22 |
| Find all providers in zip 92392 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568947323 | County of San Bernardino | Community/Behavioral Health | 15345 Bonanza Rd, Victorville, CA 92392-2499 | 2018-09-27 |
| 1558849141 | Valley Star Behavioral Health, Inc. | Community/Behavioral Health | 12188 Hesperia Road, Victorville, CA 92395-5822 | 2018-08-06 |
| 1235582404 | Greater Hope Foundation | Community/Behavioral Health | 14344 Cajon Avenue, Suite 101, 103, Victorville, CA 92392 | 2016-07-22 |
| 1881078517 | Harmeling Enterprises LLC | Community/Behavioral Health | 14443 Park Ave Ste A2, Victorville, CA 92392-2388 | 2015-07-13 |
| 1457626889 | Reallifedreams | Community/Behavioral Health | 14240 Saint Andrews Dr, Suite 101, Victorville, CA 92395-4308 | 2012-03-19 |
| 1215208921 | People's Care Autism Services, Inc. | Community/Behavioral Health | 13901 Amargosa Rd Ste 2, Victorville, CA 92392-2409 | 2012-01-26 |
| 1649498593 | San Bernardino County Department of Behavioral Health | Community/Behavioral Health | 15505 Civic Dr, Victorville, CA 92392-2357 | 2007-04-23 |
| 1104954056 | Mental Health Systems, Inc. | Community/Behavioral Health | 15770 Mojave Dr, Suites K & L, Victorville, CA 92394-1934 | 2007-03-01 |
| 1568813129 | Greater Hope Foundation for Children Inc | Community/Behavioral Health | 14344 Cajon Ave, Suite 101, 102, 103, Victorville, CA 92392-4300 | 2016-06-24 |
| 1275947426 | Valley Star Behavioral Health, Inc. | Community/Behavioral Health | 12240 Hesperia Rd, Victorville, CA 92395-8309 | 2014-06-16 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92392 |
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| 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.