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Lifestream Behavioral Center Inc

Psychiatric Hospital in Leesburg, FL · enumerated 2005 · authorized official Carol Dozier, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1902802002

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Registry record

Entity type Organization (Type 2)
Legal business name Lifestream Behavioral Center Inc
Practice address 2020 Talley Rd, Leesburg, FL, 34748
Fax (352) 315-6595
Enumeration date Jun 23, 2005
Last updated in NPPES Jul 18, 2012

Taxonomy & classification

103TC2200X Clinical Child & Adolescent Psychologist Behavioral Health & Social Service Providers Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
251B00000X Case Management Agency Agencies Secondary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Secondary
283Q00000X Psychiatric Hospital Hospitals · License 4075 (FL) Primary
323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities Secondary

Authorized official

Name Carol Dozier
Title Cfo

Other identifiers

Identifier Type State Issuer
060334100 Medicaid FL -
151443 Other FL WELLCARE PROVIDER #
060334108 Medicaid FL -
060334102 Medicaid FL -
98270 Other FL BCBS OUTPATIENT NUMBER
E-83 Other FL BCBS INPATIENT NUMBER
024576301 Medicaid FL -
060334105 Medicaid FL -
360181100 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Lifestream Behavioral Center Inc located?
The practice location on file with NPPES is in Leesburg, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-07-18. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-07-18.