LIFENET (NPI# 1740539410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740539410 |
| Entity Type | Organization |
| Organization Name | LIFENET |
| Practice Address |
4050 Lonesome Rd Ste A Mandeville LA 70448-7085 |
| Practice Telephone | 9857789141 |
| Mailing Telephone | 9857789141 |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-10 |
| Authorized Official Name | SHARISSA TAYLOR (OWNER) |
| Authorized Official Telephone | 9857789141 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
AP03867 | LA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811389364 | Lifenet | Case Management | 809 S. 9th Street, Douglas, WY 82633-2959 | 2015-02-20 |
| 1194114587 | Lifenet | Case Management | 106 East 2nd Ave., Yoder, WY 82244 | 2015-01-22 |
| 1437548054 | Lifenet | Case Management | 3001 Henderson Dr Ste N, Cheyenne, WY 82001-5840 | 2015-01-20 |
| 1881036028 | Lifenet | Ambulance | 5649 John Givens Rd, Crestview, FL 32539-7031 | 2013-07-29 |
| 1306180054 | Lifenet | Health Maintenance Organization | 9708 Skillman St, Dallas, TX 75243-5150 | 2012-11-19 |
| 1003150038 | Lifenet | Community/Behavioral Health | 9708 Skillman St, Dallas, TX 75243-5150 | 2012-11-15 |
| 1205195302 | Lifenet | Counselor | 9708 Skillman St, Dallas, TX 75243-5150 | 2012-05-09 |
| 1881961357 | Lifenet | Day Training, Developmentally Disabled Services | 809 S 9th St, Douglas, WY 82633-2959 | 2011-11-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LIFENET COMMUNITY BEHAVIORAL HEALTHCARE | 9708 Skillman St Rm 200, Dallas, TX 75243-5150 |
| Washington State Corporations | LIFENET FOUNDATION | 4526 Federal Ave, Everett, WA 98203 |
| System for Award Management (SAM) Entities | LIFENET HEALTH | 1864 Concert Dr, Virginia Beach, VA 23453-1903 |
| Oregon Corporations, Companies and Business Names | LIFENET HEALTH | 1864 Concert Dr, Virginia Beach, VA 23453 |
| Washington State Corporations | LIFENET HEALTH | 1864 Concert Dr, Virginia Beach, VA 23453-1903 |
| Iowa Business Entities | LIFENET HEALTH | 1864 Concert Drive, Virginia Beach, VA 23453 |
| Virginia Business Entities | LifeNet Health | 1864 Concert Drive, Virginia Beach, Virginia 23453 |
| New York State Corporations | LIFENET HEALTH | 1864 Concert Drive, Virginia Beach, Va 23453 |
| Washington State Corporations | LIFENET HEALTH NORTHWEST, LLC | 501 Sw 39th St, Renton, WA 98057 |
| New York State Corporations | LIFENET INC. | 7001 Brush Hollow Rd, Ste 214, Westbury, Ny 11590 |
| Street Address |
4050 LONESOME RD STE A |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70448-7085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184916827 | Melissa F Desforges | Counselor | 4050 Lonesome Rd, Ste A, Mandeville, LA 70448-7085 | 2011-05-13 |
| 1194179374 | Bianchini- Skaff Copeland LLC | Psychologist | 4050 Lonesome Rd, Suite A, Mandeville, LA 70448-7085 | 2016-04-14 |
| 1154788644 | Melanie Mckee Stevens | Counselor | 4050 Lonesome Rd, Ste A, Mandeville, LA 70448-7085 | 2016-01-28 |
| 1568865913 | Christina Stabler | Psychologist | 4050 Lonesome Rd, Ste A, Mandeville, LA 70448-7085 | 2014-09-30 |
| 1689077034 | Bianchini-brennan/stabler, LLC | Psychologist | 4050 Lonesome Rd, Ste A, Mandeville, LA 70448-7085 | 2014-09-30 |
| 1538440052 | Jan E Bruckmeier | Nurse Practitioner | 4050 Lonesome Rd, Ste A, Mandeville, LA 70448-7085 | 2011-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962035964 | Tyler Trenton Wansley | Nurse Practitioner | 23515 Us-190, Mandeville, LA 70448 | 2020-02-18 |
| 1346712957 | Start Corporation | Clinic/Center | 23251 South Robin Road, Mandeville, LA 70448 | 2018-12-20 |
| 1952870362 | Oh Project-lafayette | Community/Behavioral Health | 23515 Us 190, Northlake Academy Building, Mandeville, LA 70448 | 2018-11-14 |
| 1083113187 | Amanda Stokes Barker | Occupational Therapist | 1903 University Dr, Mandeville, LA 70448 | 2018-02-05 |
| 1629594544 | Ochsner Clinic LLC | Internal Medicine | 3235 E Causeway Approach, Mandeville, LA 70448 | 2017-08-22 |
| 1831628288 | Katherine Lea Gristina | Speech-Language Pathologist | 307 Copal Street, Mandeville, LA 70448 | 2017-06-08 |
| 1154779551 | Jonathan Ferguson | Specialist/Technologist | 26301 La-1088, Mandeville, LA 70448 | 2016-05-26 |
| 1568821874 | Raymond Wallace IIi | Licensed Vocational Nurse | 23861 South Robin Rd, Mandeville, LA 70448 | 2016-02-15 |
| 1548629140 | Martha Miller | Clinical Nurse Specialist | 400 Mariner's Blvd, Mandeville, LA 70448 | 2016-02-11 |
| 1023483435 | Tina Marie Catalano | Licensed Practical Nurse | 23861 South Robin Road, Mandeville, LA 70448 | 2015-12-10 |
| Find all providers in zip 70448 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043692437 | Northlake Medical Psychology and Counseling | Clinic/Center | 215 Saint Ann Dr Ste 2, Mandeville, LA 70471-3394 | 2015-06-23 |
| 1215080478 | Department of Health and Hospital | Clinic/Center | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2007-01-19 |
| 1215929211 | Beacon Behavioral Health Northshore Inc | Clinic/Center | 820 Asbury Dr, Mandeville, LA 70471 | 2005-08-17 |
| 1881831683 | Lifenet Behavioral Health | Clinic/Center | 4050 Lonesome Rd Ste A, Mandeville, LA 70448 | 2009-01-15 |
| 1487774675 | Trinity Behavioral Health, LLC | Clinic/Center | 1350 Park Dr, Mandeville, LA 70471-3205 | 2007-03-30 |
| 1598883563 | R & J Management, LLC | Clinic/Center | 1350 Park Dr, Mandeville, LA 70471-3205 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162905 | Hope-healing Oneself Through Positive Expectations | Clinic/Center | 3966 Water Oak Dr, Zachary, LA 70791-7347 | 2020-10-16 |
| 1063019156 | Johnson Behavioral Health Group | Clinic/Center | 4830 Line Ave Ste 302, Shreveport, LA 71106-1530 | 2020-10-02 |
| 1881201192 | Guiding Light Mental Health Services, LLC | Clinic/Center | 2008 Airline Dr Ste 300-215, Bossier City, LA 71111-2946 | 2020-09-30 |
| 1619583341 | Resilience Behavioral Healthcare | Clinic/Center | 801 Woodwind Dr, Alexandria, LA 71303-3888 | 2020-09-18 |
| 1023622032 | Abundance Counseling Service | Clinic/Center | 1500 Lafayette St Ste 150, Gretna, LA 70053-5799 | 2020-09-08 |
| 1578174314 | Stacy House Counseling | Clinic/Center | 38344 Samuel Tillotson Dr, Prairieville, LA 70769-4816 | 2020-08-14 |
| 1679182711 | Innerspace Counseling | Clinic/Center | 708 Janice Dr, Sulphur, LA 70663-4210 | 2020-07-24 |
| 1609492982 | Golden Rule Counseling, LLC | Clinic/Center | 37371 Cornerview Rd, Geismar, LA 70734-3242 | 2020-06-22 |
| 1639794183 | Harmony Behavioral Services LLC. | Clinic/Center | 630 W Cornerview St Ste B, Gonzales, LA 70737-2742 | 2020-06-10 |
| 1477177814 | Dr. Phaetra K. Raney Foundation Inc. | Clinic/Center | 1 Lakeshore Dr Ste 130, Lake Charles, LA 70629-0100 | 2020-06-02 |
| Find all providers with the same taxonomy | ||||
| City | MANDEVILLE |
| Zip Code | 70448 |
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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.