| Lifeskills, Inc. | |
|
380 Suwannee Trail St Bowling Green KY 42103-7956 | |
| (270) 901-5000 | |
| (270) 842-5268 |
| Full Name | Lifeskills, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 380 Suwannee Trail St, Bowling Green, Kentucky |
| Authorized Official Name and Position | Joe Dan Beavers (CEO) |
| Authorized Official Contact | 2709015000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeskills, Inc. 380 Suwannee Trail St Bowling Green KY 42103-7956 Ph: (270) 901-5000 | Lifeskills, Inc. 380 Suwannee Trail St Bowling Green KY 42103-7956 Ph: (270) 901-5000 |
| NPI Number | 1811218225 |
|---|---|
| Provider Enumeration Date | 06/21/2010 |
| Last Update Date | 07/20/2021 |
| Certification Date | 07/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811218225 | NPI | - | NPPES |
| 700121730 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 800004 (Kentucky) | Primary |
| 261QA0600X | Clinic/center - Adult Day Care | (* (Not Available)) | Secondary |
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