Lifestar Sacramento

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

36717 Issued in CA

Legal business name

LIFESTAR SACRAMENTO

Practice address

8261 Greenback LN Ste 100
Fair Oaks, CA 95628-2533

Phone

(916) 728-5433

NPI assigned

Aug 8, 2014

Organization subpart

No

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

Authorized official

Name

Leslie Haws, LMFT,CSAT, CMAT

Title

Executive Director

Phone

(916) 728-5433

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1780093294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8261 GREENBACK LN STE 100",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956282533",
            "telephone_number": "916-728-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8261 GREENBACK LN STE 100",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956282533",
            "telephone_number": "916-728-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTAR SACRAMENTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-08",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "HAWS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-728-5433",
        "authorized_official_credential": "LMFT,CSAT, CMAT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "36717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailei A Lewis
• Mirra Lynn Lewis
• Xin-Nong Li, MD
• Life Skills Training and Educational Programs, Inc.
• Life Span Home, Inc
• Natasha Lim
• Melissa Lynn Lipari, DPM
• Richard G Lockmiller, M.D.
• Heather Rene Logan
• Kayla Long

• Marriage & Family Therapist in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.