Lifetime Health Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFETIME HEALTH SERVICES LLC

Practice address

7509 Rebel LNDG
Prince George, VA 23875-2970

Phone

(804) 731-6145

NPI assigned

Aug 19, 2025

Last updated

Aug 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Derius Marquise Williams

Title

Owner

Phone

(804) 731-6145

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1962389064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7509 REBEL LNDG",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238752970",
            "telephone_number": "804-731-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7509 REBEL LNDG",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238752970",
            "telephone_number": "804-731-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DERIUS",
        "authorized_official_middle_name": "MARQUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-731-6145"
    },
    "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 Prince George, VA
• Providers in Prince George, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.