Lifeskills South Florida Outpatient LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

LIFESKILLS SOUTH FLORIDA OUTPATIENT LLC

Doing business as

Pasadena Villa Outpatient- Jacksonville

Practice address

10199 Southside Blvd Ste 204
Jacksonville, FL 32256-6716

Phone

(904) 917-2285

NPI assigned

Oct 23, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Benjamin Brady

Title

Cfo

Phone

(615) 864-8145

Specialties & licenses 1

Addresses

Other names 1

• Pasadena Villa Outpatient- Jacksonville Doing business as

Tax ID family

Lifeskills South Florida Outpatient LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Lifeskills South Florida Outpatient LLC

  • Adult Mental Health Clinic/Center
  • Orlando, FL
  • NPI 1154293488
  NPD tax ID
• Lifeskills South Florida Outpatient LLC

  • Adult Mental Health Clinic/Center
  • Tampa, FL
  • NPI 1700666765
  NPD tax ID
• Lifeskills South Florida Outpatient LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Delray Beach, FL
  • NPI 1780941112
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1073385175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 COOL SPRINGS BLVD STE 550",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10199 SOUTHSIDE BLVD STE 204",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566716",
            "telephone_number": "904-917-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESKILLS SOUTH FLORIDA OUTPATIENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-864-8145"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pasadena Villa Outpatient- Jacksonville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pasadena Villa Outpatient- Jacksonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Life Tree Women Care, Inc.
• Life'S Essence Adult Day Services, Inc.
• Lifecare Solutions East, Inc.
• Lifeline Audiology & Hearing Solutions, LLC
• Lifeline Behavior Consulting LLC
• Lifestyle Coaching LLC
• Lifestyle Management Counseling Center, LLC
• Lifting Individuals and Families for Eternity, Inc
• Valerie Kimberley Ligeon, DDS
• Robert Liggero, PA-C

• Adult Mental Health Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.