Organization Active NPI

Lifeisbien Therapeutic Services

  • Community/Behavioral Health Agency
  • Fort Walton Beach, FL
National Provider Identifier
1770040800
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIFEISBIEN THERAPEUTIC SERVICES
Practice address
41 Jonquil Ave NW
Fort Walton Beach, FL 32548-4534
Phone
(850) 396-2938
NPI assigned
Feb 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Authorized official

Name
Sabrina Bivins
Title
Owner/Lead Therapist
Phone
(850) 396-2938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

41 Jonquil Ave NW
Fort Walton Beach, FL 32548-4534

Mailing address

41 Jonquil Ave NW
Fort Walton Beach, FL 32548-4534

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1770040800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 JONQUIL AVE NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 JONQUIL AVE NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484534",
            "telephone_number": "850-396-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEISBIEN THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "BIVINS",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "OWNER/LEAD THERAPIST",
        "authorized_official_telephone_number": "850-396-2938"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.