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Organization Active NPI

Lifeskills South Florida Outpatient LLC

  • Adult Mental Health Clinic/Center
  • Tampa, FL
National Provider Identifier
1700666765
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LIFESKILLS SOUTH FLORIDA OUTPATIENT LLC
Doing business as
Pasadena Villa Outpatient - Tampa
Practice address
4350 W Cypress St Ste 625
Tampa, FL 33607-4164
Phone
(656) 219-3697
NPI assigned
Oct 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Benjamin Brady
Title
Cfo
Phone
(651) 864-8145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

4350 W Cypress St Ste 625
Tampa, FL 33607-4164

Mailing address

720 Cool Springs Blvd Ste 550
Franklin, TN 37067-2645

Other names 1

  • Pasadena Villa Outpatient - Tampa Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lifeskills South Florida Outpatient LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4350 W Cypress St
Ste 625
Tampa, FL 33607
Phone (656) 219-3697

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1700666765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 COOL SPRINGS BLVD STE 550",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 W CYPRESS ST STE 625",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336074164",
            "telephone_number": "656-219-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESKILLS SOUTH FLORIDA OUTPATIENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "651-864-8145"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pasadena Villa Outpatient - Tampa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pasadena Villa Outpatient - Tampa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.