LIFESKILLS, INC. (NPI# 1669401816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669401816 |
| Entity Type | Organization |
| Organization Name | LIFESKILLS, INC. |
| Practice Address |
380 Suwannee Trail St Bowling Green KY 42103-7956 |
| Practice Telephone | 2709015000 |
| Practice Fax Number | 2708425268 |
| Mailing Telephone | 2709015000 |
| Mailing Fax Number | 2708425268 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-10-16 |
| Authorized Official Name | JOE DAN BEAVERS (CEO) |
| Authorized Official Telephone | 2709015000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 30604011 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1031 Brookhaven Rd, Franklin, KY 421342743 | 2709015000 | 2708425268 |
| 109 S 2nd St, Central City, KY 423301505 | 2709315113 | 2707544633 |
| 112 Sartin Dr, Edmonton, KY 421298170 | 2709015000 | 2708425268 |
| 118 W Union St, Munfordville, KY 427658911 | 2709015000 | 2708425268 |
| 1350 Us Highway 62 W, Princeton, KY 424456106 | 2703652008 | 2703652009 |
| 1500 Parkside Dr, Bowling Green, KY 421012756 | 2709015000 | 2708425268 |
| 1711 Ashley Cir Ste 6, Bowling Green, KY 421045801 | 2709015000 | 2708425268 |
| 200 Clinic Dr, Madisonville, KY 424311661 | 2708865163 | 2708865178 |
| 205 Mohawk St, Brownsville, KY 422100596 | 2709015000 | 2708425268 |
| 222 Industrial Dr N, Morgantown, KY 422618822 | 2709015000 | 2708425268 |
| 2400 Russellville Rd, Hopkinsville, KY 422408095 | 2708875697 | 2708875849 |
| 290 Burley Ave, Hopkinsville, KY 422408725 | 2707072098 | 2707072099 |
| 330 E 10th Ave, Bowling Green, KY 421012110 | 2709015000 | 2708425268 |
| 3999 Fort Campbell Blvd, Hopkinsville, KY 422404929 | 2708862205 | 2708860392 |
| 428 Center St, Bowling Green, KY 421011223 | 2709015000 | 2708425268 |
| 433 Shelton Ln, Russellville, KY 422767600 | 2709015000 | 2708425268 |
| 49 Hillview Dr, Scottsville, KY 421649309 | 2709015000 | 2708425268 |
| 501 Chestnut St, Bowling Green, KY 421011737 | 2709015000 | 2708425268 |
| 506 Hopkinsville St, Greenville, KY 423451104 | 2703385211 | 2703381624 |
| 512 Veterans Memorial Hwy, Scottsville, KY 421648443 | 2709015000 | 2708425268 |
| 607 Hammond Plz, Hopkinsville, KY 422404971 | 2708819551 | 2708855871 |
| 608 Happy Valley Rd, Glasgow, KY 421411561 | 2709015000 | 2708425268 |
| 735 North Dr, Hopkinsville, KY 422402620 | 2708865163 | 2708865178 |
| 737a North Dr, Hopkinsville, KY 422402620 | 2708865163 | 2708901792 |
| 737b North Dr, Hopkinsville, KY 422402620 | 2708901780 | 2708901781 |
| 739 North Dr, Hopkinsville, KY 422402620 | 7088693712 | 2708901791 |
| 800 N Main St Ste A, Tompkinsville, KY 421671037 | 2709015000 | 2708425268 |
| 822 Woodway St, Bowling Green, KY 421012771 | 2709015000 | 2708425268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811218225 | Lifeskills, Inc. | Community/Behavioral Health | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2010-06-21 |
| 1326237785 | Lifeskills, Inc. | Community/Behavioral Health | 380 Suwannee Trail St., Bowling Green, KY 42103-7956 | 2007-10-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LIFESKILLS, INC. | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 |
| Street Address |
380 SUWANNEE TRAIL ST |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42103-7956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700549 | Sydney Wilson | Rehabilitation Counselor | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2020-11-02 |
| 1497360473 | Melissa Costa | Counselor | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2020-09-15 |
| 1881210789 | Rachel Carroll | Case Manager/Care Coordinator | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2020-06-17 |
| 1457986549 | Matthew Howerton | Rehabilitation Counselor | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2020-03-09 |
| 1114551421 | Candace Lillpop-simmons | Social Worker | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2020-02-25 |
| 1407496771 | Joshua Matta | Counselor | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2020-01-14 |
| 1609415629 | Ashley Marie Davis | Rehabilitation Counselor | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2019-12-23 |
| 1902445828 | Amber Malone | Counselor | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2019-12-23 |
| 1366098303 | James Shields | Rehabilitation Counselor | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2019-08-15 |
| 1043866239 | Londa Stockton | Social Worker | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2019-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127781 | Kw Consulting, LLC | Counselor | 1054 Searcy Way, Suite E, Bowling Green, KY 42103 | 2019-07-26 |
| 1063999662 | Southern Kentucky Surgicenter, LLC | Clinic/Center | 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 | 2018-07-26 |
| 1780170936 | Midsouth Psychological Services, LLC | Psychologist | 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 | 2018-07-10 |
| 1760976146 | Prorehab Inc | Clinic/Center | 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 | 2018-06-19 |
| 1063927671 | James Toney | Counselor | 624 Eastwood St, Bowling Green, KY 42103 | 2017-12-05 |
| 1366979528 | Laura Elizabeth Compton | Optometrist | 335 New Towne Drive, Bowling Green, KY 42103 | 2017-05-18 |
| 1033562632 | Elizabette Raby | Massage Therapist | 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 | 2016-07-19 |
| 1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
| 1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
| 1770893257 | Michelle Howell | Health Educator | 261 Moats Lane, Bowling Green, KY 42103 | 2010-10-18 |
| Find all providers in zip 42103 | ||||
| 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 |
|---|---|---|---|---|
| 1235757501 | Brittney S Wilson | Community/Behavioral Health | 735 Haskins Rd Ste C, Bowling Green, OH 43402-1620 | 2020-07-13 |
| 1750749248 | Mccoy Counseling Center | Community/Behavioral Health | 855 Lovers Ln, Suite 107, Bowling Green, KY 42103-7948 | 2016-01-29 |
| 1457787822 | Positive Directions Support Services, Pllc | Community/Behavioral Health | 5966 Scottsville Rd Ste 7, Bowling Green, KY 42104-7908 | 2013-09-17 |
| 1629612031 | Emily Perkins | Community/Behavioral Health | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2019-10-30 |
| 1053966333 | Barabara C Beale | Community/Behavioral Health | 735 Haskins Rd, Bowling Green, OH 43402-1638 | 2019-08-05 |
| 1851869432 | Cristina Navarre | Community/Behavioral Health | 735 Haskins Rd, Bowling Green, OH 43402-1638 | 2018-11-13 |
| 1477041176 | David Allen Avery | Community/Behavioral Health | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2018-04-27 |
| 1932603537 | Samantha D Sobecki | Community/Behavioral Health | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2018-03-20 |
| 1679002166 | Wood County Children's Services Association | Community/Behavioral Health | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2017-06-08 |
| 1649640921 | Wilson Counseling, LLC | Community/Behavioral Health | 1312 Westen St, Bowling Green, KY 42104-3352 | 2015-09-30 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42103 |
Please comment or provide details below to improve the information on LIFESKILLS, INC..
| 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.