Organization · Type 2 NPI

Lifeskills South Florida Outpatient LLC

Adult Mental Health Clinic/Center · Jacksonville, FL

NPI number 1073385175 Active

Practice location

10199 Southside Blvd Ste 204
Jacksonville, FL 32256-6716

Call (904) 917-2285 Map

Mailing address

720 Cool Springs Blvd Ste 550
Franklin, TN 37067-2645

Specialties and licenses

Taxonomy	Code	License
Adult Mental Health Clinic/Center Primary	261QM0850X	None listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Other adult mental health clinic/center providers in Jacksonville

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NPI record

NPI: 1073385175
Entity type: Organization (Type 2)
Issued: Oct 23, 2023
Last updated: Apr 6, 2026
Status: Active

Other names

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Pasadena Villa Outpatient- Jacksonville · doing business as
Pasadena Villa Outpatient- Jacksonville · doing business as

Authorized official

Benjamin Brady
CFO
(615) 864-8145

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073385175

Lifeskills South Florida Outpatient LLC's National Provider Identifier is 1073385175, issued on Oct 23, 2023. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Jacksonville, FL. The record was last updated on Apr 6, 2026.