Lifesteps Council for Alcohol & Drugs

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFESTEPS COUNCIL FOR ALCOHOL & DRUGS

Practice address

311 S Main St
Georgetown, TX 78626-5048

Phone

(512) 869-2571

Fax

(512) 869-1667

NPI assigned

Jul 19, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Wallace, LCDC, LMSW

Title

Program Director, Ppi/Padre

Phone

(512) 869-2571

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1235616566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1279",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786271279",
            "telephone_number": "512-869-2571",
            "fax_number": "512-246-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S MAIN ST",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265048",
            "telephone_number": "512-869-2571",
            "fax_number": "512-869-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTEPS COUNCIL FOR ALCOHOL & DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR, PPI/PADRE",
        "authorized_official_telephone_number": "512-869-2571",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCDC, LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMBHS",
            "identifier": "2766232152",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.