Organization Active NPI

Lives Matter Mental Health Services LLC

  • Clinic/Center
  • Lakeland, FL
National Provider Identifier
1801546718
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LIVES MATTER MENTAL HEALTH SERVICES LLC
Practice address
3445 Summit LN
Lakeland, FL 33810-4457
Phone
(863) 812-0471
NPI assigned
Mar 24, 2022
Last updated
Mar 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Twyla Newman
Title
Ceo
Phone
(863) 812-0471

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X

Addresses

Primary practice location

3445 Summit LN
Lakeland, FL 33810-4457

Mailing address

3445 Summit LN
Lakeland, FL 33810-4457
Phone (863) 812-0471

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1801546718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 SUMMIT LN",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338104457",
            "telephone_number": "863-812-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 SUMMIT LN",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338104457",
            "telephone_number": "863-812-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVES MATTER MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "TWYLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-812-0471"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.