NPIMap

Organization Active NPI

Life Solutions Outpatient Corp

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Tallahassee, FL
National Provider Identifier
1184005803
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
0237AD383201 Issued in FL
Legal business name
LIFE SOLUTIONS OUTPATIENT CORP
Practice address
1347 E Tennessee St
Tallahassee, FL 32308-5107
Phone
(850) 583-5388
Fax
(850) 583-5388
NPI assigned
Jun 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Dr. Taylor E Gaines, PHARM.D.,C.A.P.
Title
Chief Executive Officer
Phone
(855) 454-3376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 0237AD383201 FL Primary

Addresses

Primary practice location

1347 E Tennessee St
Tallahassee, FL 32308-5107

Mailing address

1347 E Tennessee St
Tallahassee, FL 32308-5107
Phone (850) 583-5388

National Provider Directory

National Provider Directory
Tax ID family
Life Solutions Outpatient Corporation5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1184005803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 E TENNESSEE ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085107",
            "telephone_number": "850-583-5388",
            "fax_number": "850-583-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 E TENNESSEE ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085107",
            "telephone_number": "850-583-5388",
            "fax_number": "850-583-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SOLUTIONS OUTPATIENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "855-454-3376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D.,C.A.P."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "0237AD383201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.