Life Group Psychotherapy, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LIFE GROUP PSYCHOTHERAPY, INC

Practice address

500 S Australian Ave
Suite 639
West Palm Beach, FL 33401-6223

Phone

(561) 236-0854

Fax

(419) 851-9191

NPI assigned

Oct 14, 2016

Organization subpart

No

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

Authorized official

Name

Dillon Steinman

Title

President

Phone

(561) 236-0854

Specialties & licenses 1

Addresses

Networks

• HealthSun Health Plans Network

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1508317504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S AUSTRALIAN AVE",
            "address_2": "SUITE 639",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016223",
            "telephone_number": "561-236-0854",
            "fax_number": "419-851-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S AUSTRALIAN AVE",
            "address_2": "SUITE 639",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016223",
            "telephone_number": "561-236-0854",
            "fax_number": "419-851-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE GROUP PSYCHOTHERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "STEINMAN",
        "authorized_official_first_name": "DILLON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-236-0854"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric M Lieman, DPT
• Life Care Medical Group Inc
• Life Changes Addiction Treatment Center of the Palm Beaches
• Life Counseling Outpatient Services Inc
• Life Counseling Professional Services, LLC
• Life Recovery of the Palm Beaches
• Life Recovery of the Palm Beaches
• Life Shape Center LLC
• Life Skills Development LLC
• Life Solutions Outpatient

• Mental Health Counselor in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.