Lifespan Behavior Consulting

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFESPAN BEHAVIOR CONSULTING

Practice address

4010 Druze Ave
Lafayette, IN 47909-8259

Phone

(765) 588-7196

NPI assigned

May 24, 2024

Organization subpart

No

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

Authorized official

Name

Aimee Harrell, LCSWNPI 1417287624

Title

Co-Owner

Phone

(765) 588-7196

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aimee Lynne Harrell, LCSW

  • Clinical Social Worker
  • Lafayette, IN
  • NPI 1417287624
  NPD Authorized official

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1851130157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 DRUZE AVE",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479098259",
            "telephone_number": "765-588-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 DRUZE AVE",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479098259",
            "telephone_number": "765-588-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN BEHAVIOR CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "765-588-7196",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.