Lifestyle Innovations Counseling and Consulting Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LIFESTYLE INNOVATIONS COUNSELING AND CONSULTING INC

Practice address

15912 Crain Hwy Ste B125
Brandywine, MD 20613-8035

Phone

(202) 627-9892

NPI assigned

Jun 21, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Andreana Yancey, LCSW-CNPI 1851678957

Title

Ceo/Therapist

Phone

(202) 627-9892

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andreana Yancey, LCSW-C

  • Clinical Social Worker
  • Clinton, MD
  • NPI 1851678957
  NPD Authorized official

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1376037366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15912 CRAIN HWY STE B125",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206138035",
            "telephone_number": "202-627-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15912 CRAIN HWY STE B125",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206138035",
            "telephone_number": "202-627-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE INNOVATIONS COUNSELING AND CONSULTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "YANCEY",
        "authorized_official_first_name": "ANDREANA",
        "authorized_official_title_or_position": "CEO/THERAPIST",
        "authorized_official_telephone_number": "202-627-9892",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MD",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221208100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stefanie Colisa Lea, LMSW
• Roy H Leiboff, MD
• Ashenafi G Lemma
• Sarah A Leonhard, MD
• Anzhu Liang, DPT
• Cynthia Locke
• Erik Lomeli
• Long Long, DDS
• Kevin Longangu
• Luxure Medical Corp.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Brandywine, MD
• Providers in Brandywine, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.