Active NPI
Lifespan Psychiatric Services LLC
Doing business as Lifespan Psychiatric & Internal Medicine Services
- Psychiatry Physician
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- LIFESPAN PSYCHIATRIC SERVICES LLC
- Doing business as
- Lifespan Psychiatric & Internal Medicine Services
- Practice address
- 3606 Maclay Blvd S Ste 102
Tallahassee, FL 32312-1277 - Phone
- (850) 999-2996
- Fax
- (850) 536-6439
- NPI assigned
- Jun 18, 2021
- Last updated
- Jul 28, 2025
- 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
- Julianne Folsom, APRN, PMHNP
- Title
- Owner
- Phone
- (850) 566-9190
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | ||
| Psychiatry Physician | 2084P0800X | NU | Primary | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | NU |
Addresses
Primary practice location
3606 Maclay Blvd S Ste 102
Tallahassee, FL 32312-1277
Mailing address
3606 Maclay Blvd S Ste 102
Tallahassee, FL 32312-1277
Phone (850) 999-2996
Other names 1
- Lifespan Psychiatric & Internal Medicine Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2320700 | Lifespan Psychiatric Services, LLC | Certificate of waiver | Mar 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
1614 Mahan Center Blvd
Ste 104
Tallahassee, FL 32308
Phone (850) 765-7292
1618 Mahan Center Blvd
Ste 103
Tallahassee, FL 32308
Phone (850) 999-2996
4012 Kelcey Ct
Ste 201
Tallahassee, FL 32308
Phone (850) 725-5563
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Lifespan Psychiatric and Internal Medicine Services
- Internal Medicine Physician
- Tallahassee, FL
- NPI 1679317127
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Tallahassee, FL
- NPI 1629691225
-
- Psychiatric/Mental Health Nurse Practitioner
- Tallahassee, FL
- NPI 1427534650
Psychiatry
-
- Psychiatric/Mental Health Nurse Practitioner
- Tallahassee, FL
- NPI 1487225280
-
- Clinical Social Worker
- Tallahassee, FL
- NPI 1326708322
-
- Psychiatric/Mental Health Nurse Practitioner
- Tallahassee, FL
- NPI 1639927304
-
- Internal Medicine Physician
- Tallahassee, FL
- NPI 1164865259
-
- Clinical Social Worker
- Tallahassee, FL
- NPI 1194447151
-
- Clinical Social Worker
- Pensacola, FL
- NPI 1902446529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753660800000",
"number": "1659940377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3606 MACLAY BLVD S STE 102",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323121277",
"telephone_number": "850-999-2996",
"fax_number": "850-536-6439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3606 MACLAY BLVD S STE 102",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323121277",
"telephone_number": "850-999-2996",
"fax_number": "850-536-6439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESPAN PSYCHIATRIC SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-18",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A",
"authorized_official_last_name": "FOLSOM",
"authorized_official_first_name": "JULIANNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-566-9190",
"authorized_official_credential": "APRN, PMHNP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lifespan Psychiatric & Internal Medicine Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lifespan Psychiatric & Internal Medicine Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tallahassee, FL
- Life Solutions, LLC
- Life-Timesolutions
- Life-Timesolutions, LLC (Hopewell)
- Lifeguide Healing, LLC. (Mental Minute Kare)
- Lifeshare Management Inc.
- Lifespan Psychiatric Services, LLC (Lifespan Psychiatric and Internal Medicine Services)
- Light Within Wellness LLC
- Tiffany Diane Lihach
- Destiny Justine Lile
- Beth A Liljestrand, MS EDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.