Active NPI
Life Cycles Development Center LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Akron, OH
National Provider Identifier
1407474737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- LIFE CYCLES DEVELOPMENT CENTER LLC
- Practice address
- 1507 Copley Rd
Akron, OH 44320-2501 - Phone
- (234) 571-2163
- NPI assigned
- Jul 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andre McCray, LMFT
- Title
- Ceo
- Phone
- (234) 788-9329
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1507 Copley Rd
Akron, OH 44320-2501
Mailing address
811 Frederick Blvd
Akron, OH 44320-1717
Phone (234) 788-9329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0293192 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
1507 Copley Rd
Akron, OH 44320
Phone (234) 571-2163
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Akron, OH
- NPI 1770074239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594598400000",
"number": "1407474737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 FREDERICK BLVD",
"city": "AKRON",
"state": "OH",
"postal_code": "443201717",
"telephone_number": "234-788-9329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 COPLEY RD",
"city": "AKRON",
"state": "OH",
"postal_code": "443202501",
"telephone_number": "234-571-2163"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE CYCLES DEVELOPMENT CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-13",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A",
"authorized_official_last_name": "MCCRAY",
"authorized_official_first_name": "ANDRE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "234-788-9329",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0293192",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.